Individual provider Active NPI

Stuart Mellett Connell, M.D.

  • Anesthesiology Physician
  • Victoria, TX
National Provider Identifier
1669646303
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P5351 Issued in TX
Practice address
2701 Hospital Dr
Victoria, TX 77901-5748
Phone
(361) 573-9181
Fax
(361) 582-5743
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X P5351 TX Primary

Addresses

Primary practice location

2701 Hospital Dr
Victoria, TX 77901-5748

Mailing address

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 582-5771

Other practice location 1

6404 Nursery Dr
Victoria, TX 77904-1688
Phone (361) 570-8311

Other practice location 2

815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 552-6713

Other identifiers 2

IdentifierTypeStateIssuer
342532403MedicaidTX
8FD830OtherTXBCBS

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
I20130826000060 TX Practitioner - AnesthesiologyPractitioner - Pain Management 0446493357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Texas Southwestern Medical School at Dallas, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

Practice addresses (Care Compare)

2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen'S Medical Center County of Victoria Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

6404 Nursery Dr
Ste 300
Victoria, TX 77904
Phone (361) 570-8311

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

4406 N Laurent St
Victoria, TX 77901
Phone (361) 578-0107

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

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 1

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1669646303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015748",
            "telephone_number": "361-582-5771",
            "fax_number": "361-582-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015748",
            "telephone_number": "361-573-9181",
            "fax_number": "361-582-5743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6404 Nursery Dr",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779041688",
            "country_code": "US",
            "telephone_number": "361-570-8311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Port Lavaca",
            "state": "TX",
            "postal_code": "779793025",
            "country_code": "US",
            "telephone_number": "361-552-6713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "STUART",
        "middle_name": "MELLETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P5351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342532403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FD830",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.