Individual provider Active NPI

Scott Stephenson, M.D.

  • Cardiovascular Disease Physician
  • Rowlett, TX
National Provider Identifier
1669459095
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H6629 Issued in TX
Practice address
7801 Lakeview Pkwy
Suite 100
Rowlett, TX 75088-4247
Phone
(972) 475-7500
Fax
(214) 427-8650
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H6629 TX
Cardiovascular Disease Physician 207RC0000X H6629 TX Primary

Addresses

Primary practice location

7801 Lakeview Pkwy
Suite 100
Rowlett, TX 75088-4247

Mailing address

PO Box 650409
Dallas, TX 75373-0409
Phone (972) 475-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sstephenson229003@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
I20101228000851 TX Practitioner - Cardiovascular Disease (Cardiology) 6507872421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Southwestern Medical School at Dallas, 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

6800 Scenic Dr
Suite 1071
Rowlett, TX 75088-4552
Phone (972) 535-2946

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

Hospital & facility affiliations

  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6629TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 1, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 1, 2016 Accepting new patients
Healthtexas Provider Network Cardiovascular Disease Current Accepting new patients
Cardiology Consultants of Texas Cardiovascular Disease Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

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

3409 Worth St
Ste 720
Dallas, TX 75246
Phone (214) 821-3603

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

3142 Horizon Rd
Ste 200
Rockwall, TX 75032
Phone (972) 475-7500

6701 Heritage Pkwy
Ste 130
Rockwall, TX 75087
Phone (972) 463-9500

9500 Lakeview Pkwy
Ste 200
Rowlett, TX 75088
Phone (214) 553-9009

7801 Lakeview Pkwy
Ste 100
Rowlett, TX 75088
Phone (214) 826-5000

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1669459095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650409",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753730409",
            "telephone_number": "972-475-7500",
            "fax_number": "214-427-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 LAKEVIEW PKWY",
            "address_2": "SUITE 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884247",
            "telephone_number": "972-475-7500",
            "fax_number": "214-427-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H6629",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H6629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstephenson229003@direct.sw.org",
            "affiliation": "N",
            "address_1": "7801 Lakeview Pkwy",
            "address_2": "Suite 100",
            "city": "Rowlett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750884247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.