Individual provider Active NPI

Douglas Roderick Stoddard, M.D.

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1699095125
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R5327 Issued in TX
Practice address
3705 Medical Pkwy Ste 250
Austin, TX 78705-1022
Phone
(512) 302-1210
Fax
(512) 334-1890
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X R5327 TX
Surgery Physician 208600000X R5327 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 250
Austin, TX 78705-1022

Mailing address

3705 Medical Pkwy Ste 250
Austin, TX 78705-1022
Phone (512) 302-1210

Other practice location 1

100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-5300

Other practice location 2

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-0236

Other practice location 3

1305 Wonder World Dr Ste 300
San Marcos, TX 78666-7541
Phone (512) 353-6400

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
I20190111000907 TX Practitioner - General Surgery 1052623584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acute Care Surgical Affiliates of Texas PAGroup PAC ID 9931446481, 44 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

600 Elizabeth St
Christus Spohn Hospital Corpus Christi Shor
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5327TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Bariatric Surgeons PLLC Surgery CurrentSince Jun 20, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 25, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 25, 2024 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Dec 15, 2021 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

3705 Medical Pkwy
Ste 210
Austin, TX 78705
Phone (512) 338-5024

3705 Medical Pkwy
Ste 250
Austin, TX 78705
Phone (512) 302-1210

5625 Eiger Rd
Ste 230
Austin, TX 78735
Phone (512) 441-7755

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

1305 Wonder World Dr
Ste 300
San Marcos, TX 78666
Phone (512) 353-6400

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: dstoddard295418@christushealth.direct-ci.net

Organizations & group practices 5

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 2

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1699095125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051022",
            "telephone_number": "512-302-1210",
            "fax_number": "512-334-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051022",
            "telephone_number": "512-302-1210",
            "fax_number": "512-334-1890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hillcrest Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767128897",
            "country_code": "US",
            "telephone_number": "254-202-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9040 Fitzsimmons Dr",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984311000",
            "country_code": "US",
            "telephone_number": "253-968-0236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Wonder World Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667541",
            "country_code": "US",
            "telephone_number": "512-353-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "DOUGLAS",
        "middle_name": "RODERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "R5327",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R5327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.