Individual provider Active NPI

Stefani Fontana, M.D.

  • Plastic and Reconstructive Surgery Physician
  • The Woodlands, TX
National Provider Identifier
1619408325
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
U1272 Issued in TX
Practice address
2219 Sawdust Rd Ste 502
The Woodlands, TX 77380-2577
Phone
(913) 333-8763
NPI assigned
Mar 23, 2017
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X U1272 TX
Plastic and Reconstructive Surgery Physician 2086S0122X U1272 TX Primary

Addresses

Primary practice location

2219 Sawdust Rd Ste 502
The Woodlands, TX 77380-2577

Mailing address

1323 W 23Rd St
Houston, TX 77008-1609
Phone (913) 333-8763

Other practice location 1

5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone (913) 333-8763

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
I20250730002078 TX Practitioner - Plastic and Reconstructive Surgery 9931445921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Provider Health PAGroup PAC ID 2264531276, 30 clinicians

Practice addresses (Care Compare)

17450 St Lukes Way
Suite 360
The Woodlands, TX 77384-8046
Phone (281) 607-5784

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue530
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U1272TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Provider Health PA CurrentSince Jul 1, 2025 Accepting new patients
Premier Provider Health PA CurrentSince Jul 1, 2025 Accepting new patients
Stefani Fontana LLC Plastic Surgery CurrentSince Nov 3, 2024 Accepting new patients
Premier Provider Health PA Past Accepting new patients

Locations

9301 N Central Expy
Ste 340
Dallas, TX 75231
Phone (214) 466-2828

8648 Medical City Way
Fort Worth, TX 76177
Phone (817) 984-7536

5575 Warren Pkwy
Ste 206
Frisco, TX 75034
Phone (469) 287-7089

1325 Pennsylvania Ave
Ste 750
Ft Worth, TX 76104
Phone (817) 250-1970

14018 Aesthetic Cir
Houston, TX 77062
Phone (281) 204-8017

1 Chisholm Trail Rd
Ste 5200
Round Rock, TX 78681
Phone (346) 239-9469

17450 St Lukes Way
Ste 360
The Woodlands, TX 77384
Phone (281) 872-6306

2219 Sawdust Rd
Ste 502
The Woodlands, TX 77380

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

Interoperability endpoints

  • Direct secure messaging: sfontana150240@memorialhermann.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1619408325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W 23RD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081609",
            "telephone_number": "913-333-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SAWDUST RD STE 502",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802577",
            "telephone_number": "913-333-8763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5373 W Alabama St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770565923",
            "country_code": "US",
            "telephone_number": "913-333-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "STEFANI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "U1272",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "U1272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.