NPIMap

Individual provider Active NPI

Christopher Andrew Stack, M.D.

  • Vascular Neurology Physician
  • Pearland, TX
National Provider Identifier
1568704971
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
T7454 Issued in TX
Practice address
10905 Memorial Hermann Dr Ste 111
Pearland, TX 77584-3490
Phone
(281) 929-4727
Fax
(281) 929-4728
NPI assigned
Mar 24, 2013
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X T7454 TX
Neurology Physician 2084N0400X D83988 MD
Vascular Neurology Physician 2084V0102X D83988 MD
Vascular Neurology Physician 2084V0102X T7454 TX Primary

Addresses

Primary practice location

10905 Memorial Hermann Dr Ste 111
Pearland, TX 77584-3490

Mailing address

10905 Memorial Hermann Dr Ste 111
Pearland, TX 77584-3490
Phone (281) 929-4727

Other practice location 1

203 Hospital Dr Ste 200
Glen Burnie, MD 21061-6905
Phone (410) 553-8160

Other practice location 2

22 S Greene St Rm N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180912000090 MD Practitioner - Neurology 6305145426 Reassigns benefits to 1 organization
I20220721000384 TX Practitioner - Neurology 6305145426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Maryland School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians
Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians

Practice addresses (Care Compare)

10905 Memorial Hermann Dr
Pearland, TX 77584-3490

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 238-3770

16100 S Fwy
Pearland, TX 77584-1895
Phone (281) 929-6184

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (281) 725-5026

17510 W Grand Pkwy S
Suite 330
Sugar Land, TX 77479-2648
Phone (281) 238-3770

18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 540-8409

18955 N Memorial Dr
Suite 360
Humble, TX 77338-4396
Phone (281) 319-8530

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-8111

27800 Hwy 290
Cypress, TX 77433-5302
Phone (346) 231-4628

27800 Northwest Fwy
Cypress, TX 77433-5302
Phone (346) 231-4628

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 686-6605

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5686

921 Gessner Rd
Houston, TX 77024-2501
Phone (713) 242-3768

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D83988MDMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Neighborhood Health Centers, PLLC Neurology Current Accepting new patients
MHS Physicians of Texas CurrentSince Aug 15, 2022 Accepting new patients
MHS Physicians of Texas Neurology CurrentSince Aug 15, 2022 Accepting new patients
Premier Family Care I, Inc Neurology CurrentSince Jul 18, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Aug 1, 2018 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Aug 1, 2018 Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

203 Hospital Dr
Ste 200
Glen Burnie, MD 21061
Phone (410) 553-8362

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

9200 Pinecroft Dr
Ste 130
Shenandoah, TX 77380
Phone (713) 897-5900

17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770

Interoperability endpoints

  • Direct secure messaging: cstack15989@direct.umm.edu
  • Direct secure messaging: cstack59510@memorialhermann.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1568704971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR STE 111",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "281-929-4727",
            "fax_number": "281-929-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR STE 111",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "281-929-4727",
            "fax_number": "281-929-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Hospital Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210616905",
            "country_code": "US",
            "telephone_number": "410-553-8160",
            "fax_number": "410-553-8159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St Rm N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACK",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-24",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "T7454",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D83988",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MD",
            "license": "D83988",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "T7454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.