Individual provider Active NPI

Stephanie Baussan, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1477849818
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R7660 Issued in TX
Practice address
6550 Fannin St Ste 749
Houston, TX 77030-2738
Phone
(713) 441-7465
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R7660 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6550 Fannin St Ste 749
Houston, TX 77030-2738

Mailing address

6550 Fannin St Ste 749
Houston, TX 77030-2738
Phone (713) 441-7465

Other practice location 1

800 Spruce St
Diagnostic Radiology department
Philadelphia, PA 19107-6130
Phone (215) 829-8000

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
I20190624000805 TX Practitioner - Diagnostic Radiology 8527392695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Radiology Associates, PLLCGroup PAC ID 3678652625, 15 clinicians

Practice addresses (Care Compare)

6550 Fannin St
Suite 749
Houston, TX 77030-2738
Phone (713) 441-7465

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7660TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jul 15, 2019 Accepting new patients
Methodist Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jul 15, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jul 15, 2019 Accepting new patients
TMH Physician Associates PLLC PastSince Jul 15, 2019 Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 749
Houston, TX 77030
Phone (713) 441-5097

2615 Southwest Fwy
Ste 110
Houston, TX 77098
Phone (713) 441-2221

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

Organizations & group practices 4

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 5

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1477849818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 749",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302738",
            "telephone_number": "713-441-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 749",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302738",
            "telephone_number": "713-441-7465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Spruce St",
            "address_2": "Diagnostic Radiology department",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191076130",
            "country_code": "US",
            "telephone_number": "215-829-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUSSAN",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R7660",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.