Active NPI
Jessica Stark, MD
- Neurological Surgery Physician
- Houston, TX
National Provider Identifier
1174888341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- S0802
- Practice address
- 6400 Fannin St Ste 2150
Houston, TX 77030-1524 - Phone
- (713) 486-8100
- Fax
- (713) 486-8101
- NPI assigned
- Jul 12, 2012
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | S0802 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St Ste 2150
Houston, TX 77030-1524
Mailing address
6400 Fannin St Ste 2070
Houston, TX 77030-1541
Phone (713) 486-7747
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
- Neurosurgery
- Education
- Louisiana State University School of Medicine in New Orleans, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6400 Fannin St
Suite 2150
Houston, TX 77030-1524
Phone (713) 486-8100
Hospital & facility affiliations
- Enhabit Home Health
- Enhabit Home Health
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Hospital System
- Memorial Hermann Northeast Hospital
- Memorial Hermann Sugar Land Hospital
- Memorial Hermann Memorial City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.63 of 100
- Quality
- 68.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 231 |
| Laminectomy or laminotomy (partial removal of spine bones) | 83 |
| 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 |
|---|---|---|---|
| S0802 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Neurological Surgery | Current | Accepting new patients |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731
6400 Fannin St
Ste 2850
Houston, TX 77030
Phone (713) 486-5100
6400 Fannin St
Ste 2150
Houston, TX 77030
Phone (713) 486-8100
11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970
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.
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1265096317
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pasadena, TX
- NPI 1588644850
-
- Home Health Agency
- Richmond, TX
- NPI 1174770515
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1174888341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 2070",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301541",
"telephone_number": "713-486-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 2150",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301524",
"telephone_number": "713-486-8100",
"fax_number": "713-486-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "S0802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.