Individual provider Active NPI

Stephen De Young, M.D.

  • Orthopaedic Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1316944150
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E6322 Issued in TX
Practice address
1350 Creek Way Dr
Sugar Land, TX 77478-3384
Phone
(281) 494-1314
Fax
(281) 494-1346
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E6322 TX Primary

Addresses

Primary practice location

1350 Creek Way Dr
Sugar Land, TX 77478-3384

Mailing address

3822 Colony Woods Dr
Sugar Land, TX 77479-2843
Phone (281) 494-1314

Other identifiers 1

IdentifierTypeStateIssuer
1237273-05MedicaidTX

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
I20100226000667 TX Practitioner - Orthopedic Surgery 9537077813 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orthopedic Group, LLP Orthopaedic Surgery CurrentSince Jan 1, 2010 Accepting new patients
Southwest Orthopedic Group, LLP Orthopaedic Surgery CurrentSince Jan 1, 2010 Accepting new patients
Texas Pain Consultants, LLP Past Accepting new patients

Locations

3711 Garth Rd
Ste E
Baytown, TX 77521
Phone (713) 610-4270

6560 Fannin St
Ste 1016
Houston, TX 77030
Phone (713) 610-4270

16659 Southwest Fwy
Ste 321
Sugar Land, TX 77479
Phone (713) 610-4270

1350 Creek Way Dr
Sugar Land, TX 77478
Phone (713) 610-4270

16651 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (713) 776-9500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/256/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sdeyoung@direct.uspi.com
  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/6286/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephen.deyoung.1@256.direct.athenahealth.com

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1316944150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 COLONY WOODS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792843",
            "telephone_number": "281-494-1314",
            "fax_number": "281-494-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CREEK WAY DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783384",
            "telephone_number": "281-494-1314",
            "fax_number": "281-494-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE YOUNG",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E6322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1237273-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.