Individual provider Active NPI

Stephen M. Humphrey, MD

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
National Provider Identifier
1154379428
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
N1349 Issued in TX
Practice address
2701 S Hampton Rd Ste 220B
Dallas, TX 75224-2363
Phone
(866) 552-4866
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 44460 WI
Vascular & Interventional Radiology Physician 2085R0204X 036106450 IL
Vascular & Interventional Radiology Physician 2085R0204X N1349 TX Primary
Diagnostic Radiology Physician 2085R0202X N1349 TX
Diagnostic Radiology Physician 2085R0202X 036106450 IL

Addresses

Primary practice location

2701 S Hampton Rd Ste 220B
Dallas, TX 75224-2363

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472

Other practice location 1

10614 N Port Washington Rd
Mequon, WI 53092-5013
Phone (262) 834-0123

Other practice location 2

245 S Executive Dr Ste 350
Brookfield, WI 53005-4214
Phone (262) 373-1647

Other practice location 3

300 N Highland Ave Ste 365
Sherman, TX 75092-7393
Phone (866) 552-4866

Other practice location 4

4441 Long Prairie Rd Ste 400
Flower Mound, TX 75028-5410
Phone (866) 552-4866

Other practice location 5

6149 Windhaven Pkwy Ste 130
Plano, TX 75093-8298
Phone (866) 552-4866

Other practice location 6

1030 S Coit Rd
Prosper, TX 75078-2950
Phone (866) 552-4866

Other practice location 7

2101 Westpark Ct Ste 320
Euless, TX 76040-3733
Phone (866) 552-4866

Other practice location 8

4450 Sojourn Dr Ste 200
Addison, TX 75001-5000
Phone (866) 552-4866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040403000298 WI Practitioner - Diagnostic Radiology 4385637750
I20100526000739 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4385637750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

1030 S Coit Rd
Prosper, TX 75078-2950
Phone (866) 552-4866

1650 Round Rock Ave
Suite 100
Round Rock, TX 78681-4082
Phone (866) 552-4866

5575 Warren Pkwy
Suite 101
Frisco, TX 75034-4066
Phone (972) 712-4161

6149 Windhaven Pkwy
Suite 130
Plano, TX 75093-8298
Phone (866) 552-4866

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036106450ILMDDiagnostic Radiology Physician
N1349TXMDDiagnostic Radiology Physician
44460WIMDVascular & Interventional Radiology Physician
1187PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Interventional Partners PLLC CurrentSince Dec 1, 2022 Accepting new patients
Commonwealth Medical Group, LLC Diagnostic Radiology Past Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
Morris Healthcare & Associates, PLLC Past Accepting new patients
Vein Clinics of Chicago LLC Past Accepting new patients
Florida United Radiology LC Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients

Locations

4450 Sojourn Dr
Ste 200
Addison, TX 75001
Phone (469) 850-5760

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

2701 S Hampton Rd
Ste 220B
Dallas, TX 75224

12221 Merit Dr
Ste 280
Dallas, TX 75251
Phone (972) 544-9725

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

4616 US Highway 75
Ste 170
Denison, TX 75020
Phone (866) 946-4085

2101 Westpark Ct
Ste 320
Euless, TX 76040
Phone (214) 935-5177

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

6149 Windhaven Pkwy
Ste 130
Plano, TX 75093
Phone (972) 881-1320

5068 W Plano Pkwy
Ste 155
Plano, TX 75093
Phone (972) 360-0064

1030 S Coit Rd
Ste A
Prosper, TX 75078

1030 S Coit Rd
Prosper, TX 75078
Phone (469) 769-3376

300 N Highland Ave
Ste 365
Sherman, TX 75092
Phone (516) 721-7069

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: stephen.humphrey.1@2477.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1154379428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S HAMPTON RD STE 220B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242363",
            "telephone_number": "866-552-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10614 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530925013",
            "country_code": "US",
            "telephone_number": "262-834-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 S Executive Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530054214",
            "country_code": "US",
            "telephone_number": "262-373-1647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Highland Ave Ste 365",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750927393",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 Long Prairie Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750285410",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6149 Windhaven Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938298",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 S Coit Rd",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782950",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Westpark Ct Ste 320",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403733",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4450 Sojourn Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750015000",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "44460",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036106450",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "N1349",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N1349",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036106450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.