Individual provider Active NPI

Samuel Stephenson, MD

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1578058665
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
T7746 Issued in TX
Practice address
7777 Forest LN Ste 106
Dallas, TX 75230-2571
Phone
(972) 566-5255
Fax
(972) 566-5236
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A154951 CA
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X T7746 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste 106
Dallas, TX 75230-2571

Mailing address

7777 Forest LN Ste 106
Dallas, TX 75230-2571
Phone (972) 566-5255

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Other practice location 2

5575 Frisco Square Blvd Ste 510
Frisco, TX 75034-3303
Phone (972) 566-5255

Other practice location 3

5575 Frisco Square Blvd Ste 260
Frisco, TX 75034-3310
Phone (972) 566-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210910002314 CA Practitioner - Orthopedic Surgery 0648676981 Reassigns benefits to 1 organization
I20220804001101 TX Practitioner - Orthopedic Surgery 0648676981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Joint Institute, PLLCGroup PAC ID 8325206584, 40 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

1125 Raintree Cir
Suite 201
Allen, TX 75013-5288
Phone (972) 566-5255

12228 N Central Expy
Suite 410
Dallas, TX 75243-3797
Phone (972) 566-5255

204 Medical Dr
Suite 110
Sherman, TX 75092-6372
Phone (972) 566-5255

2710 N Josey LN
Carrollton, TX 75007-5400
Phone (469) 701-9108

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

3901 W 15TH St
Medical City Plano
Plano, TX 75075-7738
Phone (972) 593-6800

4001 W 15TH St
Suite 180
Plano, TX 75093-5836
Phone (972) 566-5255

4201 Medical Ctr Dr
Suite 100
McKinney, TX 75069-1766
Phone (972) 566-5255

4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000

4510 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (817) 233-1016

4750 President George Bush Tpke
Sachse, TX 75048-4283
Phone (945) 320-9000

7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 488-1000

8200 Walnut Hill LN
Texas Health Presbyterian Dallas Ho
Dallas, TX 75231-4402
Phone (214) 820-0111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement48
Knee replacement18
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision18
Removal of tissue88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154951CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jul 1, 2021 Accepting new patients
Texas Joint Institute, PLLC Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients
Regents of the University of California Orthopaedic Surgery CurrentSince Jul 1, 2021 Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3500 Gaston Ave
Dallas, TX 75246

7777 Forest Ln
Ste 106
Dallas, TX 75230

7777 Forest Ln
Ste C135
Dallas, TX 75230
Phone (972) 566-5051

12228 N Central Expy
Ste 410
Dallas, TX 75243
Phone (214) 265-5050

5575 Frisco Square Blvd
Ste 260
Frisco, TX 75034
Phone (469) 310-4400

4201 Medical Center Dr
Ste 100
McKinney, TX 75069
Phone (469) 796-4295

4001 W 15th St
Ste 180
Plano, TX 75093
Phone (214) 930-1252

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

Interoperability endpoints

  • Direct secure messaging: 21585-stephenson-samuel@direct.leadingreach.com

Organizations & group practices 3

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 12

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1578058665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-5255",
            "fax_number": "972-566-5236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 Frisco Square Blvd Ste 510",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343303",
            "country_code": "US",
            "telephone_number": "972-566-5255",
            "fax_number": "972-566-5236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 Frisco Square Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343310",
            "country_code": "US",
            "telephone_number": "972-566-5255",
            "fax_number": "972-566-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A154951",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "T7746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.