NPIMap

Individual provider Active NPI

Elias Stephan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Sugar Land, TX
National Provider Identifier
1811981996
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
L4734 Issued in TX
Practice address
15200 Southwest Fwy
230
Sugar Land, TX 77478-3845
Phone
(281) 980-1899
Fax
(855) 360-9600
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X L4734 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy
230
Sugar Land, TX 77478-3845

Mailing address

PO Box 18797
Sugar Land, TX 77496-8797
Phone (281) 980-1899

Other identifiers 3

IdentifierTypeStateIssuer
7362515OtherTXAETNA PROVIDER ID NUMBER
8V4810OtherTXBCBS PIN
05086764OtherTXECFMG NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000134 TX Practitioner - Internal MedicinePractitioner - Endocrinology 9032188081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15200 Southwest Fwy
Suite 230
Sugar Land, TX 77478-3865
Phone (281) 980-1899

Hospital & facility affiliations

  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • El Campo Memorial Hospital Hospital, El Campo, TX, CCN 450694
  • Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Sweeny Community Hospital Hospital, Sweeny, TX, CCN 451311

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Thyroid & Endocrine Center P.a. CurrentSince Dec 13, 2005 Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients
Texas Gulf Coast Medical System, Inc Endocrinology, Diabetes & Metabolism Past Accepting new patients
Sugar Land Dermatology PA Past Accepting new patients

Locations

15200 Southwest Fwy
Ste 230
Sugar Land, TX 77478
Phone (281) 494-9433

15200 Southwest Fwy
Ste 270
Sugar Land, TX 77478
Phone (281) 661-2447

Organizations & group practices 4

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 5

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1811981996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18797",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774968797",
            "telephone_number": "281-980-1899",
            "fax_number": "281-980-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY",
            "address_2": "230",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783845",
            "telephone_number": "281-980-1899",
            "fax_number": "855-360-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHAN",
        "first_name": "ELIAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "L4734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID NUMBER",
            "identifier": "7362515",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8V4810",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "05086764",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.