Individual provider Active NPI

Rebecca E Stachniak, M.D.

  • Neurological Surgery Physician
  • Plano, TX
National Provider Identifier
1669485025
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MED-PHYS-LIC-125029 Issued in MT
Practice address
3060 Communications Pkwy
201
Plano, TX 75093-8449
Phone
(972) 943-9779
Fax
(972) 943-9776
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MED-PHYS-LIC-125029 MT Primary

Addresses

Primary practice location

3060 Communications Pkwy
201
Plano, TX 75093-8449

Mailing address

3060 Communications Pkwy
201
Plano, TX 75093-8449
Phone (972) 943-9779

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
I20070305000100 TX Practitioner - Neurosurgery 9830291277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Texas Medical School at San Antonio, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Brooklyn Ave
Suite 305
San Antonio, TX 78212-4803
Phone (210) 757-3217

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-125029MTMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine of Texas, PLLC Neurological Surgery CurrentSince Jul 13, 2025 Accepting new patients
Legent Physician Group PLLC Neurological Surgery CurrentSince Aug 3, 2024 Accepting new patients

Locations

1200 Brooklyn Ave
San Antonio, TX 78212
Phone (210) 685-1466

1200 Brooklyn Ave
Ste 305
San Antonio, TX 78212
Phone (210) 757-3217

5330 N Loop 1604 W
Ste 101
San Antonio, TX 78249

5330 N Loop 1604 W
Ste 102
San Antonio, TX 78249
Phone (210) 819-4562

Interoperability endpoints

  • Direct secure messaging: rebecca.stachniak.1@32890.direct.athenahealth.com

Organizations & group practices 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1669485025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938449",
            "telephone_number": "972-943-9779",
            "fax_number": "972-943-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938449",
            "telephone_number": "972-943-9779",
            "fax_number": "972-943-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHNIAK",
        "first_name": "REBECCA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MT",
            "license": "MED-PHYS-LIC-125029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.