Individual provider Active NPI

Mark L Stevens, MD

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1427033786
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J0283 Issued in TX
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

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00L06COtherTXBCBS OF TX #
74-2678144OtherTAX ID #
111531302MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070809000202 TX Practitioner - Family PracticePractitioner - Emergency Medicine 7315964236 Reassigns benefits to 2 organizations
Practice locations: Victoria, TX

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
Regional Employee Assistance Program IncGroup PAC ID 1557260064, 102 clinicians

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 Hospice, Victoria, TX, CCN 741502
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Twin Pines Nursing and Rehabilitation Nursing home, Victoria, TX, CCN 675638

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
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

LicenseStateTypeSpecialty
J0283TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Victoria Hospitalist Associates, LLC CurrentSince Mar 16, 2007 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Oct 1, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.