Individual provider Active NPI

Stephen Edward Manek

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1700310562
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
W5444 Issued in TX
Practice address
1 Baylor PLZ
Houston, TX 77030-3498
Phone
(713) 798-4321
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X W5444 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X BP10067703 TX

Addresses

Primary practice location

1 Baylor PLZ
Houston, TX 77030-3498

Mailing address

5115 Fannin St Ste 801
Houston, TX 77004-5870
Phone (713) 558-9508

Other practice location 1

3310 Longmire Dr Ste B
College Station, TX 77845-5812
Phone (936) 441-1010

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
I20260429003936 TX Practitioner - Vascular Surgery 8325515059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Louisville School of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

341 Cool Springs Blvd
Suite 305
Franklin, TN 37067-7221

5115 Fannin St
Suite 801
Houston, TX 77004-5805

5115 Fannin St
Suite 801
Houston, TX 77004-5870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP10067703TXMDSurgery Physician
W5444TXMDVascular Surgery Physician

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.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1700310562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 FANNIN ST STE 801",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045870",
            "telephone_number": "713-558-9508",
            "fax_number": "713-790-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303498",
            "telephone_number": "713-798-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Longmire Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778455812",
            "country_code": "US",
            "telephone_number": "936-441-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANEK",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "W5444",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10067703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.