Individual provider Active NPI

Ronald Alvin Stotz, MD

  • Neurology Physician
  • Fredericksburg, TX
National Provider Identifier
1790721447
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J9821 Issued in TX
Practice address
1009 S Milam St
Suite 4
Fredericksburg, TX 78624-4578
Phone
(830) 990-0064
Fax
(830) 990-1173
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J9821 TX Primary

Addresses

Primary practice location

1009 S Milam St
Suite 4
Fredericksburg, TX 78624-4578

Mailing address

1009 S Milam St
Suite 4
Fredericksburg, TX 78624-4578
Phone (830) 990-0064

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
I20070926001048 TX Practitioner - Neurology 0648365395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical Branch at Galveston, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Country Neurology P.a.Group PAC ID 5496075210, 2 clinicians

Practice addresses (Care Compare)

108 N Edison St
Fredericksburg, TX 78624-3220
Phone (860) 990-0064

Hospital & facility affiliations

  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9821TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Neurology P.a. CurrentSince Mar 23, 2015 Accepting new patients

Locations

1009 S Milam St
Ste 4
Fredericksburg, TX 78624
Phone (830) 990-0064

108 N Edison St
Fredericksburg, TX 78624
Phone (830) 990-0064

Organizations & group practices 1

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1790721447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S MILAM ST",
            "address_2": "SUITE 4",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244578",
            "telephone_number": "830-990-0064",
            "fax_number": "830-990-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S MILAM ST",
            "address_2": "SUITE 4",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244578",
            "telephone_number": "830-990-0064",
            "fax_number": "830-990-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTZ",
        "first_name": "RONALD",
        "middle_name": "ALVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J9821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.