Individual provider Active NPI

Michael W Stavinoha, MD PA

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1154345593
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G8436 Issued in TX
Practice address
1631 North Loop West
Suite 655
Houston, TX 77008-1599
Phone
(713) 869-8200
Fax
(713) 867-2013
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G8436 TX Primary

Addresses

Primary practice location

1631 North Loop West
Suite 655
Houston, TX 77008-1599

Mailing address

1631 North Loop West
Suite 655
Houston, TX 77008-1599
Phone (713) 869-8200

Other identifiers 1

IdentifierTypeStateIssuer
127858203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000556 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 4486782091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1445 N Loop W
Suite 720
Houston, TX 77008-1528
Phone (713) 861-7500

1631 N Loop
Suite 300
Houston, TX 77008-1528
Phone (713) 343-1080

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Upper gastrointestinal (GI) endoscopy for acid reflux46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
G8436TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W Stavinoha MD PA Gastroenterology CurrentSince Dec 18, 2010 Accepting new patients
Ut Physicians CurrentSince May 1, 2025 Accepting new patients
Ut Physicians CurrentSince May 1, 2025 Accepting new patients

Locations

1631 North Loop W
Ste 655
Houston, TX 77008
Phone (713) 485-6910

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
#135
Houston, TX 77030

1631 North Loop W
Ste 560
Houston, TX 77008
Phone (713) 486-1190

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1154345593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP WEST",
            "address_2": "SUITE 655",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081599",
            "telephone_number": "713-869-8200",
            "fax_number": "713-867-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP WEST",
            "address_2": "SUITE 655",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081599",
            "telephone_number": "713-869-8200",
            "fax_number": "713-867-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVINOHA",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G8436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127858203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.