Individual provider Active NPI

Stephen Ken-Wei Chao, M.D.

  • Family Medicine Physician
  • Humble, TX
National Provider Identifier
1225299753
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P0561 Issued in TX
Practice address
1712 1St St E # M20
Humble, TX 77338-5238
Phone
(281) 446-4139
Fax
(281) 446-4860
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P0561 TX Primary

Addresses

Primary practice location

1712 1St St E # M20
Humble, TX 77338-5238

Mailing address

1712 E 1St St Ste M20
Humble, TX 77338-5238
Phone (281) 448-4139

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
I20111103000468 TX Practitioner - Family Practice 5193998375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1712 E 1St St
Humble, TX 77338-5238
Phone (281) 446-4139

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0561TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince May 1, 2015 Accepting new patients
Harris County Hospital District CurrentSince Nov 1, 2020 Accepting new patients
Ut Physicians Specialty Services Family Medicine CurrentSince May 1, 2015 Accepting new patients
Ut Physicians CurrentSince May 1, 2015 Accepting new patients

Locations

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

6431 Fannin St
#324
Houston, TX 77030

10623 Bellaire Blvd
Ste C280
Houston, TX 77072
Phone (713) 486-5900

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1712 E 1st St
#M20
Humble, TX 77338
Phone (281) 446-4139

1712 E 1st St
Ste M20
Humble, TX 77338
Phone (281) 446-4139

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1225299753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 E 1ST ST STE M20",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385238",
            "telephone_number": "281-448-4139",
            "fax_number": "281-446-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 1ST ST E # M20",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385238",
            "telephone_number": "281-446-4139",
            "fax_number": "281-446-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "STEPHEN",
        "middle_name": "KEN-WEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.