Individual provider Active NPI

Jon Karl Stern, M.D.

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1457336133
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E2876 Issued in TX
Practice address
7500 Beechnut St
Suite 350
Houston, TX 77074-4335
Phone
(713) 988-8442
Fax
(713) 988-9222
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X E2876 TX Primary

Addresses

Primary practice location

7500 Beechnut St
Suite 350
Houston, TX 77074-4335

Mailing address

7500 Beechnut St
Suite 350
Houston, TX 77074-4335
Phone (713) 988-8442

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
I20060302000409 TX Practitioner - Dermatology 9436165271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Derm Surgery Associates P.a.Group PAC ID 9436124278, 24 clinicians

Practice addresses (Care Compare)

6700 W Loop S
Suite 500
Bellaire, TX 77401-4120
Phone 7137919966130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2876TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Surgery Associates P.a. Dermatology CurrentSince Apr 17, 2012 Accepting new patients

Locations

6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966

7500 Beechnut St
Ste 290
Houston, TX 77074
Phone (713) 790-7800

Organizations & group practices 1

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1457336133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST",
            "address_2": "SUITE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744335",
            "telephone_number": "713-988-8442",
            "fax_number": "713-988-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST",
            "address_2": "SUITE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744335",
            "telephone_number": "713-988-8442",
            "fax_number": "713-988-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "JON",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E2876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.