Individual provider Active NPI

Tracy Rene Stammann, DO

  • Family Medicine Physician
  • Richmond, TX
National Provider Identifier
1538622170
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T4061 Issued in TX
Practice address
22001 Southwest Fwy Ste 300
Richmond, TX 77469-7002
Phone
(281) 239-5037
Fax
(281) 762-5399
NPI assigned
Apr 10, 2019
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X T4061 TX Primary

Addresses

Primary practice location

22001 Southwest Fwy Ste 300
Richmond, TX 77469-7002

Mailing address

4911 Sandhill Dr
Sugar Land, TX 77479-5320
Phone (281) 238-7870

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
I20220725001642 TX Practitioner - Family Practice 7214264423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakbend Medical GroupGroup PAC ID 7517917867, 9 clinicians

Practice addresses (Care Compare)

22001 Southwest Fwy
Suite 100
Richmond, TX 77469-7002
Phone (281) 239-5037

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T4061TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakbend Medical Group Family Medicine CurrentSince Jul 15, 2022 Accepting new patients
Oakbend Medical Group CurrentSince Jul 15, 2022 Accepting new patients

Locations

1601 Main St
Ste 105
Richmond, TX 77469
Phone (281) 341-9898

22001 Southwest Fwy
Ste 100
Richmond, TX 77469
Phone (281) 238-7870

22001 Southwest Fwy
Ste 300
Richmond, TX 77469
Phone (281) 344-6744

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1538622170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 SANDHILL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795320",
            "telephone_number": "281-238-7870",
            "fax_number": "281-633-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 SOUTHWEST FWY STE 300",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774697002",
            "telephone_number": "281-239-5037",
            "fax_number": "281-762-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMMANN",
        "first_name": "TRACY",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T4061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.