Active NPI
Mark L Stevens, MD
- Family Medicine Physician
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J0283
- Practice address
- 501 E Colorado St
Victoria, TX 77901-6025 - Phone
- (361) 579-8300
- Fax
- (361) 579-8303
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J0283 | TX | Primary |
Addresses
Primary practice location
501 E Colorado St
Victoria, TX 77901-6025
Mailing address
PO Box 2923
Victoria, TX 77902-2923
Phone (361) 576-4164
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00L06C | Other | TX | BCBS OF TX # |
| 74-2678144 | Other | TAX ID # | |
| 111531302 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mark.stevens.1@1902.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 E Colorado St
Detar Family Medicine Center
Victoria, TX 77901-6025
Phone (361) 579-8300
Hospital & facility affiliations
- Harbor Hospice of Victoria LP
- De Tar Hospital Navarro
- Twin Pines Nursing and Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J0283 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Family Medicine | Current | Accepting new patients |
| Victoria Hospitalist Associates, LLC | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Family Medicine | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Family Medicine | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| West Wharton County Hospital District | Past | Accepting new patients |
Locations
1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
601 E San Antonio St
Ste 102W
Victoria, TX 77901
Phone (361) 576-4164
1301 Mallette Dr
Victoria, TX 77904
Phone (361) 576-9263
101 Medical Dr
Victoria, TX 77904
Phone (361) 573-6100
9006 N Navarro St
Ste B
Victoria, TX 77904
Phone (361) 485-0021
501 E Colorado St
Victoria, TX 77901
Phone (361) 571-5283
3401 E Airline Rd
Victoria, TX 77901
Phone (361) 573-2467
605 E San Antonio St
Ste 310E
Victoria, TX 77901
Phone (361) 575-0228
3103 E Airline Rd
Victoria, TX 77901
Phone (361) 545-6457
510 E Rio Grande St
Victoria, TX 77901
Phone (361) 570-1082
605 E San Antonio St
Ste 410E
Victoria, TX 77901
Phone (361) 578-2911
Interoperability endpoints
- mark.stevens.1@1902.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
Family Medicine
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1215999511
Family Medicine
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Skilled Nursing Facility
- Victoria, TX
- NPI 1023743028
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Victoria, TX
- NPI 1881968618
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
-
- Skilled Nursing Facility
- Victoria, TX
- NPI 1023743028
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1427033786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2923",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779022923",
"telephone_number": "361-576-4164",
"fax_number": "361-576-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E COLORADO ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779016025",
"telephone_number": "361-579-8300",
"fax_number": "361-579-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MARK",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J0283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX #",
"identifier": "00L06C",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "74-2678144",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111531302",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mark.stevens.1@1902.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "501 E Colorado St",
"city": "Victoria",
"state": "TX",
"country_code": "US",
"postal_code": "779016025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.