Individual provider Active NPI

Kenneth Eric Stone, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1669435418
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
P4515 Issued in TX
Practice address
4502 Medical Dr FL 3
San Antonio, TX 78229-4402
Phone
(210) 358-2074
NPI assigned
Apr 11, 2006
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X P4515 TX Primary
Cardiovascular Disease Physician 207RC0000X 33541 IA

Addresses

Primary practice location

4502 Medical Dr FL 3
San Antonio, TX 78229-4402

Mailing address

7400 Merton Minter St
San Antonio, TX 78229-4404
Phone (515) 231-1239

Other practice location 1

502 Madison Oak Dr Ste 310
San Antonio, TX 78258-4298
Phone (210) 483-8883

Other practice location 2

502 Madison Oak Dr Ste 310
San Antonio, TX 78258-4298
Phone (210) 483-8883

Other identifiers 4

IdentifierTypeStateIssuer
319308803MedicaidTX
8DR448OtherTXBCBSTX
319308801MedicaidTX
319308804OtherTXCSHCN

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
I20130709000016 TX Practitioner - Cardiovascular Disease (Cardiology) 2264697275 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4515TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2017 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2017 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Sep 11, 2017 Accepting new patients
BHS Specialty Network Inc Cardiovascular Disease Past Accepting new patients

Locations

4502 Medical Dr
Fl 3
San Antonio, TX 78229
Phone (210) 358-0770

502 Madison Oak Dr
Ste 310
San Antonio, TX 78258
Phone (210) 483-0888

7400 Merton Minter St
San Antonio, TX 78229
Phone (210) 616-8385

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

8122 Datapoint Dr
Ste 700
San Antonio, TX 78229
Phone (210) 615-0600

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

Interoperability endpoints

  • Direct secure messaging: kstone27170@direct.utmsa.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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1669435418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "515-231-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR FL 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Madison Oak Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584298",
            "country_code": "US",
            "telephone_number": "210-483-8883",
            "fax_number": "210-494-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Madison Oak Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584298",
            "country_code": "US",
            "telephone_number": "210-483-8883",
            "fax_number": "210-494-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "KENNETH",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P4515",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "33541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319308803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8DR448",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319308801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "319308804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.