NPIMap

Individual provider Active NPI

Stephen C Wells, MD

  • Nephrology Physician
  • Cedar Park, TX
National Provider Identifier
1164602835
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N5477 Issued in TX
Practice address
1720 E Whitestone Blvd Ste a
Cedar Park, TX 78613-7641
Phone
(512) 451-5800
Fax
(512) 459-1399
NPI assigned
Nov 9, 2007
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X N5477 TX Primary

Addresses

Primary practice location

1720 E Whitestone Blvd Ste a
Cedar Park, TX 78613-7641

Mailing address

1420 Viceroy Dr
Dallas, TX 75235-2208
Phone (214) 358-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000724 TX Practitioner - NephrologyPractitioner - Internal Medicine 9931231800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Kidney Associates PAGroup PAC ID 1658511217, 33 clinicians

Practice addresses (Care Compare)

1720 E Whitestone Blvd
Suite a 1
Cedar Park, TX 78613-7640
Phone (512) 451-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5477TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Kidney Associates PA Nephrology CurrentSince Mar 29, 2018 Accepting new patients
Austin Kidney Associates, P. a. CurrentSince Mar 29, 2018 Accepting new patients

Locations

15808 Ranch Road 620 N
Ste 100
Austin, TX 78717
Phone (512) 244-3554

300 E Highland Mall Blvd
Ste 1A
Austin, TX 78752
Phone (512) 451-5800

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

1720 E Whitestone Blvd
Ste A
Cedar Park, TX 78613
Phone (512) 451-5800

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 275-0100

Interoperability endpoints

  • Direct secure messaging: swells39650@direct.davitaphysiciansolutions.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1164602835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 VICEROY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352208",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E WHITESTONE BLVD STE A",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137641",
            "telephone_number": "512-451-5800",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N5477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.