Active NPI
Nicholas Patrick Stetkevich, D.O.
- Pediatric Sports Medicine Physician
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sports Medicine Physician
- License
- S6061
- Practice address
- 15400 Southwest Fwy Ste 100
Sugar Land, TX 77478-3876 - Phone
- (281) 494-7010
- Fax
- (832) 825-3689
- NPI assigned
- Jun 12, 2015
- Last updated
- Aug 19, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 007585 | AZ | |
| Pediatrics Physician | 208000000X | S6061 | TX | |
| Pediatric Sports Medicine Physician | 2080S0010X | S6061 | TX | Primary |
Addresses
Primary practice location
15400 Southwest Fwy Ste 100
Sugar Land, TX 77478-3876
Mailing address
2212 W Holcombe Blvd
Houston, TX 77030-2088
Phone (408) 355-0924
Other practice location 1
6330 West Loop S Ste 300
Bellaire, TX 77401-2936
Phone (713) 839-0164
Other practice location 2
6621 Fannin St Ste Ab2240
Houston, TX 77030-2358
Phone (832) 824-2000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007585 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children's Physician Group | Pediatrics | Current | Accepting new patients |
| Texas Children's Hospital | Past | Accepting new patients | |
| Texas Children's Urgent Care | Pediatrics | Past | Accepting new patients |
Locations
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
6330 West Loop S
Ste 300
Bellaire, TX 77401
Phone (713) 839-0164
6621 Fannin St
Ste AB2240
Houston, TX 77030
Phone (832) 824-2000
6651 Main St
Ste F320
Houston, TX 77030
Phone (512) 828-3660
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
15400 Southwest Fwy
Ste 100
Sugar Land, TX 77478
Phone (281) 494-7010
Interoperability endpoints
- nstetkevich307161@prddirect.texaschildrens.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
dba Texas Children's Hospital North Austin Campus
- Children's Hospital
- Austin, TX
- NPI 1194507947
-
- Pediatrics Physician
- Houston, TX
- NPI 1871998963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1164803375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 W HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302088",
"telephone_number": "408-355-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15400 SOUTHWEST FWY STE 100",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783876",
"telephone_number": "281-494-7010",
"fax_number": "832-825-3689"
}
],
"practiceLocations": [
{
"address_1": "6330 West Loop S Ste 300",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "TX",
"postal_code": "774012936",
"country_code": "US",
"telephone_number": "713-839-0164",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6621 Fannin St Ste Ab2240",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302358",
"country_code": "US",
"telephone_number": "832-824-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STETKEVICH",
"first_name": "NICHOLAS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-12",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "007585",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S6061",
"primary": false
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "TX",
"license": "S6061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
- Beatrice Ogoh Stephens, NP
- Ruth Stephens
- Steps to Serenity Counseling, PLLC
- Sterling Therapy & Rehabilitation, PLLC (Sterling Physical Therapy & Wellness)
- Brooke Sterzinger, M.S., CCC-SLP
- Steven J Lieberson DPM, PC
- Deena Denise Stevenson, LVN
- Robyn D Stewart, LPC
- Simone Olivier Stewart, FNP-BC
- Rachel Stiller
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.