Individual provider Active NPI

Stephen Dewan, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Austin, TX
National Provider Identifier
1245254515
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
F5518 Issued in TX
Practice address
1010 W 40TH St
Austin, TX 78756-4010
Phone
(512) 459-8753
Fax
(512) 483-6828
NPI assigned
Jul 27, 2006
Last updated
Jul 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X F5518 TX Primary

Addresses

Primary practice location

1010 W 40TH St
Austin, TX 78756-4010

Mailing address

1010 W 40TH St
Austin, TX 78756-4010
Phone (512) 459-8753

Other identifiers 4

IdentifierTypeStateIssuer
117733902MedicaidTX
85004XOtherTXSAN ANGELO BCBS PROV NO
741796484OtherTXTAX ID NO
824101OtherTXAUSTIN BCBS PROV NO

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
I20100902000744 TX Practitioner - Thoracic SurgeryPractitioner - General Surgery 5698708089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Baylor College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgeons,PAGroup PAC ID 3870577729, 34 clinicians
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

1010 W 40TH St
Austin, TX 78756-4010
Phone (512) 459-8753

3801 N Lamar Blvd
Austin, TX 78756-4080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.06 of 100Reported as group
Quality
67.35
Promoting interoperability
97
Improvement activities
40
Cost
72.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F5518TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic and Vascular Surgeons,PA CurrentSince Sep 1, 1999 Accepting new patients
St Davids Heart & Vascular, PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1010 W 40th St
Austin, TX 78756
Phone 5124598753102

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/856/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephen.dewan.1@856.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1245254515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W 40TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564010",
            "telephone_number": "512-459-8753",
            "fax_number": "512-483-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 40TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564010",
            "telephone_number": "512-459-8753",
            "fax_number": "512-483-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAN",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "F5518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117733902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAN ANGELO BCBS PROV NO",
            "identifier": "85004X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NO",
            "identifier": "741796484",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUSTIN BCBS PROV NO",
            "identifier": "824101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.