Individual provider Active NPI

Stephen Edward Mahoney, M.D.

  • Specialist
  • Houston, TX
National Provider Identifier
1295743490
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H6399 Issued in TX
Practice address
2925 Briarpark Dr Ste 250
Houston, TX 77042-3720
Phone
(281) 558-3376
Fax
(281) 558-0544
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H6399 TX Primary

Addresses

Primary practice location

2925 Briarpark Dr Ste 250
Houston, TX 77042-3720

Mailing address

2925 Briarpark Dr Ste 150
Houston, TX 77042-3732
Phone (281) 558-3376

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
I20120424000478 TX Practitioner - Dermatology 7113016718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Houston DermatologyGroup PAC ID 2062485980, 2 clinicians

Practice addresses (Care Compare)

2925 Briarpark Dr
Suite 150
Houston, TX 77042-3732
Phone (281) 558-3376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1627
Removal or shaving of skin growth125
Skin biopsy147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6399TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
West Houston Dermatology Specialist CurrentSince Jan 1, 1998 Accepting new patients
Dermatology Associates of New Jersey PastSince Feb 1, 2015 Accepting new patients
Dermatology Associates of Indy LLC PastSince Nov 6, 2014 Accepting new patients

Locations

12121 Richmond Ave
Ste 208
Houston, TX 77082
Phone (281) 558-3376

2925 Briarpark Dr
Ste 150
Houston, TX 77042
Phone (281) 558-3376

12606 West Houston Center Blvd
Ste 110
Houston, TX 77082
Phone (281) 558-3376

Organizations & group practices 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1295743490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 BRIARPARK DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423732",
            "telephone_number": "281-558-3376",
            "fax_number": "281-558-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 BRIARPARK DR STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423720",
            "telephone_number": "281-558-3376",
            "fax_number": "281-558-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H6399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.