Kelli O Stevens, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2075 Issued in TX

Practice address

17115 Red Oak Dr Ste 218
Houston, TX 77090-2607

Phone

(832) 930-0362

Fax

(832) 779-4362

NPI assigned

May 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hou Foot Ankle Pro, LLCGroup PAC ID 7113295585, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kstevens147923@memorialhermann.direct-ci.com

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.

• Hou Foot Ankle Pro, LLC

  • Foot & Ankle Surgery Podiatrist
  • Lake Jackson, TX
  • NPI 1992243695
  Medicare reassignment Care Compare group NPD
• Hou Foot Ankle Pro, LLC

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
  • NPI 1760124796
  NPD

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

• The Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1215296728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "832-930-0362",
            "fax_number": "832-779-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "832-930-0362",
            "fax_number": "832-779-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KELLI",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gowri Srinivas Stevens, M.D
• Jayne Alison Stevens, LPC-ASSOCIATE
• Jill Johnson Stevens, LPC
• Jillian Nichol Stevens, LPC
• Jonathan R Stevens, M.D., M.P.H.
• Lynn Stevens
• Stephanie Faye Stevens
• Thomas Lloyd Stevens, MA, LPC, RPT
• Tobey Alan Stevens, M.D.
• Vivian Stevens, CCC-SLP

• Foot & Ankle Surgery Podiatrist in Houston, TX
• Providers in Houston, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.

Verify at the official NPI Registry.