Organization Active NPI

Riverstone Urology Specialists PLLC

  • Urology Physician
  • Cypress, TX
National Provider Identifier
1669340543
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
RIVERSTONE UROLOGY SPECIALISTS PLLC
Practice address
24518 Northwest Fwy
Medical Office Building 2, Suite 445
Cypress, TX 77429-2904
Phone
(404) 909-5591
NPI assigned
Oct 23, 2025
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Russell Philip LibbyNPI 1902216740
Title
Managing Provider
Phone
(404) 909-5591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

24518 Northwest Fwy
Medical Office Building 2, Suite 445
Cypress, TX 77429-2904

Mailing address

506 Hunters Park LN
Houston, TX 77024-5411
Phone (404) 909-5591

Other practice location 1

9200 Pinecroft Dr Ste 280
Shenandoah, TX 77380-3281
Phone (281) 822-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217001605 TX Part B Supplier - Clinic/Group Practice 0941795926 Receives reassigned benefits from 1 practitioner
Practice locations: Shenandoah, TX; Cypress, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2336848Riverstone Urology Specialists PLLC24518 Northwest Fwy, Mob 2, Suite 445, Cypress, TX 77429Certificate of waiverJan 11, 2028
45D2343163Riverstone Urology Specialists PLLC9200 Pinecroft Dr, Suite 280, Shenandoah, TX 77380Certificate of waiverApr 30, 2028

National Provider Directory

National Provider Directory

Locations

9200 Pinecroft Dr
Ste 280
Shenandoah, TX 77380
Phone (281) 296-9444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1669340543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HUNTERS PARK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770245411",
            "telephone_number": "404-909-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24518 NORTHWEST FWY",
            "address_2": "MEDICAL OFFICE BUILDING 2, SUITE 445",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292904",
            "telephone_number": "404-909-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Pinecroft Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803281",
            "country_code": "US",
            "telephone_number": "281-822-4900",
            "fax_number": "281-779-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERSTONE UROLOGY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGING PROVIDER",
        "authorized_official_telephone_number": "404-909-5591"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.