Active NPI
Stella Mattina Health Inc
- Obstetrics & Gynecology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- STELLA MATTINA HEALTH INC
- Practice address
- 1135 N Bishop Ave
Dallas, TX 75208-4114 - Phone
- (214) 942-3100
- NPI assigned
- Mar 2, 2022
- Last updated
- Apr 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eduardo Santos
- Title
- Manager
- Phone
- (214) 971-9808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1135 N Bishop Ave
Dallas, TX 75208-4114
Mailing address
1135 N Bishop Ave
Dallas, TX 75208-4114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0690814 | Stella Mattina Health Inc | Registration | Sep 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
811 W Interstate 20
Ste 212
Arlington, TX 76017
Phone (214) 942-3100
12377 Merit Dr
Ste 550
Dallas, TX 75251
Phone (214) 294-8989
3090 Ridge Rd
Rockwall, TX 75032
Phone (972) 475-9505
Practitioners & affiliated clinicians
Practitioners 29
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1043237761
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- Obstetrics & Gynecology Physician
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- NPI 1811004112
-
- Family Medicine Physician
- Dallas, TX
- NPI 1679193650
-
- Obstetrics & Gynecology Physician
- Rockwall, TX
- NPI 1811062235
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912528605
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1437353026
-
- Obstetrics & Gynecology Physician
- Andrews, TX
- NPI 1497142558
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1730112988
-
- Family Medicine Physician
- Dallas, TX
- NPI 1497796585
-
- Maternal & Fetal Medicine Physician
- Arlington, TX
- NPI 1477549749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649721600000",
"number": "1487301230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 N BISHOP AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752084114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 N BISHOP AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752084114",
"telephone_number": "214-942-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLA MATTINA HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A",
"authorized_official_last_name": "SANTOS",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "214-971-9808"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.