Individual provider Active NPI

Katie Grysen Stewart, M.D.

  • Pediatric Rheumatology Physician
  • Austin, TX
National Provider Identifier
1316159841
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
M8010 Issued in TX
Practice address
8611 N Mopac Expy # 300
Austin, TX 78759-8319
Phone
(737) 220-8200
NPI assigned
May 4, 2007
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatric Rheumatology Physician 2080P0216X M8010 TX Primary

Addresses

Primary practice location

8611 N Mopac Expy # 300
Austin, TX 78759-8319

Mailing address

8611 N Mopac Expy # 300
Austin, TX 78759-8319
Phone (737) 220-8200

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
I20111024000800 TX Practitioner - Pediatric MedicinePractitioner - Rheumatology 3173796851 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 14, 2011 Accepting new patients
Texas Scottish Rite Hospital for Crippled Children CurrentSince Feb 11, 2014 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 14, 2011 Accepting new patients
Texas Children's Physician Group CurrentSince Oct 17, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Texas Children's Hospital Past Accepting new patients
Texas Scottish Rite Hospital for Crippled Children Past Accepting new patients

Locations

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

8611 N Mopac Expy
#300
Austin, TX 78759
Phone (737) 220-8200

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

3800 Gaylord Pkwy
Ste 850
Frisco, TX 75034
Phone 4698572222 ext. 72222

5700 Dallas Pkwy
Frisco, TX 75034
Phone (469) 515-7100

Interoperability endpoints

  • Direct secure messaging: kstewart441940@prddirect.texaschildrens.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1316159841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 N MOPAC EXPY # 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598319",
            "telephone_number": "737-220-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 N MOPAC EXPY # 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598319",
            "telephone_number": "737-220-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KATIE",
        "middle_name": "GRYSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "TX",
            "license": "M8010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.