Individual provider Active NPI

Stefano Pineda, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1184155848
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S6482 Issued in TX
Practice address
13376 Research Blvd Ste 110
Austin, TX 78750-2257
Phone
(737) 346-3499
Fax
(737) 346-3501
NPI assigned
Mar 24, 2017
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X BP10059636 TX
Internal Medicine Physician 207R00000X S6482 TX Primary

Addresses

Primary practice location

13376 Research Blvd Ste 110
Austin, TX 78750-2257

Mailing address

13376 Research Blvd Ste 110
Austin, TX 78750-2257
Phone (737) 346-3499

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921002668 TX Practitioner - Internal Medicine 5890064547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramon a Pineda MD PAGroup PAC ID 0749509362, 2 clinicians

Practice addresses (Care Compare)

2418 Southmore Ave
Pasadena, TX 77502-1421
Phone (713) 472-2700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10059636TXMDInternal Medicine Physician
S6482TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramon a. Pineda MD PA Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine PastSince Jul 20, 2020 Accepting new patients

Locations

2418 Southmore Ave
Pasadena, TX 77502
Phone (713) 472-2700

Interoperability endpoints

  • Direct secure messaging: spineda468813@direct.stlukeshealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1184155848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13376 RESEARCH BLVD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502257",
            "telephone_number": "737-346-3499",
            "fax_number": "737-346-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13376 RESEARCH BLVD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502257",
            "telephone_number": "737-346-3499",
            "fax_number": "737-346-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "STEFANO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10059636",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S6482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.