NPIMap

Organization Active NPI

Baylor St. Luke's Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1740485879
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BAYLOR ST. LUKE'S MEDICAL GROUP
Practice address
17350 St Lukes Way Ste 400
The Woodlands, TX 77384-4167
Phone
(936) 266-3513
Fax
(936) 266-8568
NPI assigned
Jun 19, 2007
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Stephanie Valentine
Title
VP Finance Physician Enterprise
Phone
(936) 676-3163

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X
Nurse Practitioner 363L00000X
Acute Care Nurse Practitioner 363LA2100X
Critical Care Medicine Nurse Practitioner 363LC0200X
Family Nurse Practitioner 363LF0000X
Anesthesiology Physician 207L00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
Cardiovascular Disease Physician 207RC0000X
Clinical Cardiac Electrophysiology Physician 207RC0001X
Orthopaedic Surgery Physician 207X00000X
Vascular Surgery Physician 2086S0129X
Hospitalist Physician 208M00000X

Addresses

Primary practice location

17350 St Lukes Way Ste 400
The Woodlands, TX 77384-4167

Mailing address

17521 St Lukes Way Ste 180
The Woodlands, TX 77384-8040
Phone (936) 266-3513

Other practice location 1

208 Oak Dr S Ste 200
Lake Jackson, TX 77566-5640
Phone (936) 266-3513

Other practice location 2

2255 E Mossy Oaks Rd Ste 320
Spring, TX 77389-1812
Phone (936) 266-3513

Other identifiers 1

IdentifierTypeStateIssuer
CE1701OtherTXMEDICARE RAILROAD

Other names 1

  • St. Luke's Medical Group Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070920000863 TX Part B Supplier - Clinic/Group Practice 9133213192 Receives reassigned benefits from 218 practitioners

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2026404Baylor St Luke's Medical Group Lake Jackson FMC208 Oak Drive South, Suite 200, Lake Jackson, TX 77566Certificate of waiverJun 29, 2027
45D2319305Baylor St Luke's Medical Group Mac II17350 St Luke's Way, Ste 200, The Woodlands, TX 77384Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations (25 of 75)

1525 N Brooks St
Brazoria, TX 77422
Phone (979) 798-2747

17220 St Lukes Way
Conroe, TX 77384

17350 St Lukes Way
Ste 210
Conroe, TX 77384

17450 St Lukes Way
Ste 310
Conroe, TX 77384

3251 I 45 N
Ste 195
Conroe, TX 77304

3251 Interstate 45 N
Ste 110
Conroe, TX 77304
Phone (832) 263-8955

3251 Interstate 45 N
Ste 200
Conroe, TX 77304

4015 I 45 N
Ste 21001
Conroe, TX 77304
Phone (936) 494-1052

4015 I 45 N
Ste 2101
Conroe, TX 77304
Phone (281) 205-1111

1111 Worth St
Hemphill, TX 75948
Phone (409) 787-1707

390 Sabine St
Ste D
Hemphill, TX 75948
Phone (409) 787-0006

1140A Cypress Station Dr
Ste 400
Houston, TX 77090

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

2457 S Braeswood Blvd
Ste 414
Houston, TX 77030

6624 Fannin St
Ste 1100
Houston, TX 77030
Phone (832) 355-6436

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

7500 Beechnut St
Ste 240
Houston, TX 77074
Phone (713) 981-1777

845 FM 1960 Rd W
Ste 104
Houston, TX 77090
Phone (281) 444-9895

521 Ih 45 S
Ste 1
Huntsville, TX 77340

521 Interstate 45 S
Huntsville, TX 77340
Phone (936) 293-8800

22698 Professional Dr
Ste 100A
Kingwood, TX 77339

22698 Professional Dr
Ste 100B
Kingwood, TX 77339
Phone (281) 358-5574

22710 Professional Dr
Ste 204
Kingwood, TX 77339
Phone (281) 312-8540

2300 Green Oak Dr
Kingwood, TX 77339
Phone (281) 358-0655

208 Oak Dr S
Ste 200
Lake Jackson, TX 77566
Phone (979) 285-1802

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Practitioners & affiliated clinicians

Practitioners 258

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 258

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1740485879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 ST LUKES WAY STE 180",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848040",
            "telephone_number": "936-266-3513",
            "fax_number": "936-266-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 400",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844167",
            "telephone_number": "936-266-3513",
            "fax_number": "936-266-8568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Oak Dr S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775665640",
            "country_code": "US",
            "telephone_number": "936-266-3513",
            "fax_number": "936-266-8568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 E Mossy Oaks Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773891812",
            "country_code": "US",
            "telephone_number": "936-266-3513",
            "fax_number": "936-266-8568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYLOR ST. LUKE'S MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VP FINANCE PHYSICIAN ENTERPRISE",
        "authorized_official_telephone_number": "936-676-3163"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CE1701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "St. Luke's Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.