Individual provider Active NPI

Stephanie Bui Catuogno, MSPAS, PA-C

  • Physician Assistant
  • Waco, TX
National Provider Identifier
1255769261
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08808 Issued in TX
Practice address
6609 Sanger Ave
Waco, TX 76710-4252
Phone
(254) 399-6941
Fax
(254) 399-6567
NPI assigned
Oct 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017033 NY
Physician Assistant 363A00000X MA056533 PA
Medical Physician Assistant 363AM0700X PA08808 TX
Surgical Physician Assistant 363AS0400X PA08808 TX
Physician Assistant 363A00000X PA08808 TX Primary

Addresses

Primary practice location

6609 Sanger Ave
Waco, TX 76710-4252

Mailing address

6609 Sanger Ave
Waco, TX 76710-4252
Phone (254) 399-6941

Other names 1

  • Stephanie Thuy VI Bui Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107000336 TX Practitioner - Physician Assistant 0648593210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

3500 Jefferson St
Suite 200
Austin, TX 78731-6200
Phone (512) 643-4384

4040 Medical Park Dr
Odessa, TX 79765-2233
Phone (432) 217-0344

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017033NYMDPhysician Assistant
MA056533PAMDPhysician Assistant
PA08808TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat CurrentSince Oct 1, 2020 Accepting new patients
Jonathan G Wash DPM PA Past Accepting new patients

Locations

3500 Jefferson St
Ste 200
Austin, TX 78731
Phone (512) 643-4384

3101 Highway 71 E
Ste 203
Bastrop, TX 78602
Phone (512) 643-4384

701 E Whitestone Blvd
Ste 150
Cedar Park, TX 78613
Phone (512) 260-5860

1400 E Cemetery Rd
Hallettsville, TX 77964
Phone (512) 643-4384

2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384

4112 Links Ln
Ste 205
Round Rock, TX 78664
Phone (512) 379-6090

160 Creekside Park Rd
Ste 300
Spring Branch, TX 78070
Phone (512) 643-4384

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1255769261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 SANGER AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104252",
            "telephone_number": "254-399-6941",
            "fax_number": "254-399-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 SANGER AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104252",
            "telephone_number": "254-399-6941",
            "fax_number": "254-399-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATUOGNO",
        "first_name": "STEPHANIE",
        "middle_name": "BUI",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017033",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056533",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08808",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA08808",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BUI",
            "middle_name": "THUY VI",
            "credential": "MSPAS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.