Individual provider Active NPI

Steven Paul Overn, D.O.

  • Family Medicine Physician
  • Prosper, TX
National Provider Identifier
1659325462
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6489 Issued in TX
Practice address
111 S Preston Rd Ste 10
Prosper, TX 75078-8885
Phone
(469) 800-5200
Fax
(469) 800-5210
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H6489 TX Primary

Addresses

Primary practice location

111 S Preston Rd Ste 10
Prosper, TX 75078-8885

Mailing address

111 S Preston Rd Ste 10
Prosper, TX 75078-8885
Phone (469) 800-5200

Other identifiers 1

IdentifierTypeStateIssuer
F10044OtherTXUPIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sovern225716@direct.sw.org

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
I20120830000328 TX Practitioner - Family Practice 1153578984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6489TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Healthtexas Provider Network CurrentSince Feb 4, 2013 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Feb 4, 2013 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

6210 Virginia Pkwy
McKinney, TX 75071
Phone (214) 733-8326

111 S Preston Rd
Ste 10
Prosper, TX 75078
Phone (469) 800-5200

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

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 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1659325462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S PRESTON RD STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788885",
            "telephone_number": "469-800-5200",
            "fax_number": "469-800-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S PRESTON RD STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788885",
            "telephone_number": "469-800-5200",
            "fax_number": "469-800-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERN",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F10044",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sovern225716@direct.sw.org",
            "affiliation": "N",
            "address_1": "111 S Preston Rd Ste 10",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750788885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.