Active NPI
Kelly W Stephenson, M.D.
- Orthopaedic Surgery Physician
- Galveston, TX
National Provider Identifier
1164501797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- L5141
- Practice address
- 301 University Blvd
Galveston, TX 77555-5302 - Phone
- (409) 772-2222
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | L5141 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-5302
Mailing address
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152923201 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical Branch at Galveston, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11555 Magnolia Pkwy
Suite 140
Pearland, TX 77584-2151
Phone (281) 724-8241
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Memorial Hermann Houston Physicians Hospital
- Houston Methodist Clear Lake Hospital
- HCA Houston Healthcare Pearland
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 16 |
| Knee replacement | 13 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5141 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omkar Dave MD PLLC | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Current | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
11555 Magnolia Pkwy
Ste 140
Pearland, TX 77584
Phone (281) 724-8241
11555 Magnolia Pkwy
Pearland, TX 77584
Phone (281) 957-9127
Interoperability endpoints
- kstephensonmd9095@direct.utmb.edu
- kelly.stephenson.1@14436.direct.athenahealth.com
- kstephenson59680@memorialhermann.direct-ci.com
- https://api.platform.athenahealth.com/14436/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Clinic/Center
- Houston, TX
- NPI 1134598345
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pearland, TX
- NPI 1609275585
-
- General Acute Care Hospital
- Houston, TX
- NPI 1952723967
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Webster, TX
- NPI 1285699835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1164501797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555302",
"telephone_number": "409-772-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555302",
"telephone_number": "409-772-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "KELLY",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "L5141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152923201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.