Individual provider Active NPI

John Timothy Stout, MD

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1770537441
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P8623 Issued in TX
Practice address
1504 Taub Loop
Houston, TX 77030-1608
Phone
(713) 526-4243
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P8623 TX Primary

Addresses

Primary practice location

1504 Taub Loop
Houston, TX 77030-1608

Mailing address

6565 Fannin Street, Nc205
Baylor College of Medicine, Department of Ophthalmology
Houston, TX 77030
Phone (713) 798-5951

Other practice location 1

3375 SW Terwilliger Blvd
Portland, OR 97239
Phone (503) 494-2435

Other practice location 2

6701 Fannin Street, Suite 610.25
Texas Children's Clinical Care Center-Ophthalmology
Houston, TX 77030
Phone (832) 822-3230

Other practice location 3

1977 Butler Blvd
Alkek Eye Center
Houston, TX 77030
Phone (713) 798-6100

Other identifiers 1

IdentifierTypeStateIssuer
335344307MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstout13292@bcm.ghhdirect.net

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
I20140306001665 TX Practitioner - Ophthalmology 6901869619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-4900

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

1977 Butler Blvd
Houston, TX 77030-4101

1977 Butler Boulevard
Houston, TX 77030-4101

1977 Butler Boulevard 6TH Floor
200 BCM Physicians
Houston, TX 77030-4101
Phone (713) 798-6131

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Mar 10, 2014 Accepting new patients
Baylor College of Medicine Ophthalmology CurrentSince Mar 10, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Dec 18, 2013 Accepting new patients
Texas Children'S Physician Group CurrentSince Jun 12, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Dec 18, 2013 Accepting new patients
Oregon Health Sciences University Department of Ophthalmology Past Accepting new patients

Locations

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1977 Butler Blvd
Fl 3
Houston, TX 77030

6701 Fannin St
Ste 510
Houston, TX 77030
Phone (832) 822-3230

1977 Butler Blvd
Houston, TX 77030
Phone (713) 798-4857

2450 Holcombe Blvd
Ste 34L
Houston, TX 77021
Phone (832) 828-1000

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6701 Fannin St
Ste 61025
Houston, TX 77030
Phone (832) 822-3230

Interoperability endpoints

  • Direct secure messaging: jstout163990@prddirect.texaschildrens.org

Organizations & group practices 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1770537441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FANNIN STREET, NC205",
            "address_2": "BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF OPHTHALMOLOGY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-798-5951",
            "fax_number": "713-798-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-526-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3375 SW Terwilliger Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "503-494-2435",
            "fax_number": "503-494-7233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Fannin Street, Suite 610.25",
            "address_2": "Texas Children's Clinical Care Center-Ophthalmology",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "832-822-3230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1977 Butler Blvd",
            "address_2": "Alkek Eye Center",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-798-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "JOHN",
        "middle_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P8623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335344307",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstout13292@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "1977 Butler Blvd Fl 3",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.