Active NPI
Stephen M. Humphrey, MD
- Vascular & Interventional Radiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- N1349
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Texas Medical School at Houston, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 43.69
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 67.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 615 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036106450 | IL | MD | Diagnostic Radiology Physician |
| N1349 | TX | MD | Diagnostic Radiology Physician |
| 44460 | WI | MD | Vascular & Interventional Radiology Physician |
| 1187 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Partners PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Interventional Partners PLLC | Current | 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
- 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.
-
- Vascular & Interventional Radiology Physician
- Addison, TX
- NPI 1750814737
Diagnostic Radiology
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1891513677
-
- Family Nurse Practitioner
- Flower Mound, TX
- NPI 1093223133
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1164470845
-
- Internal Medicine Physician
- West Allis, WI
- NPI 1477500361
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Hialeah, FL
- NPI 1619160538
-
- Diagnostic Radiology Physician
- Fort Lauderdale, FL
- NPI 1275997934
-
- Vascular Surgery Physician
- Chicago, IL
- NPI 1386904621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.