Edic Stephanian, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

J6256 Issued in TX

Practice address

601 Clara Barton Blvd Ste 350
Garland, TX 75042-5747

Phone

(972) 426-9900

Fax

(972) 426-9899

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Vascular SurgeryAlso: Emergency Medicine, General Surgery

Education

University of Southern California Keck School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgery Associates of NTX PLLCGroup PAC ID 7810219375, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
• Medical City Plano Hospital, Plano, TX, CCN 450651
• Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Merit-based Incentive Payment System (MIPS)

Final score

86.7 of 100Reported as group

Quality

63.38

Promoting interoperability

99

Improvement activities

40

Cost

76.44

Merit-based Incentive Payment System (MIPS)

Final score

95.65 of 100Reported as group

Promoting interoperability

89

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edic.stephanian@hca7.eclinicaldirectplus.com
• Direct secure messaging: 5682-stephanian-edic@direct.leadingreach.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JBDADA

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.

• Surgery Associates of NTX, PLLC

  • Surgery Physician
  • Denton, TX
  • NPI 1134522691
  Medicare reassignment Care Compare group NPD
• Vascular Care of Texas, PLLC

  • Vascular Surgery Physician
  • Garland, TX
  • NPI 1982095329
  Medicare reassignment NPD Authorized official
• Surgery Associates of North Texas P a

  • Vascular Surgery Physician
  • Denton, TX
  • NPI 1255355715
  NPD
• Elite Orthopaedics of Irving PLLC

  • Orthopaedic Surgery Physician
  • Irving, TX
  • NPI 1982892105
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1023180502
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1871543660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD STE 350",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425747",
            "telephone_number": "972-426-9900",
            "fax_number": "972-426-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD STE 350",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425747",
            "telephone_number": "972-426-9900",
            "fax_number": "972-426-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHANIAN",
        "first_name": "EDIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J6256",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "J6256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123939402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha N. Steiger, D.M.D.
• Jennica Stein, PHARMD
• Tzivia E Stein, LCSW
• Stella S. Kwong, M.D., P.a.
• Step by Step ABA LLC
• Stephen Mark Olmstead, D.O., Allergy, Asthma & Immunology Associates
• Stepup Healthcare Inc
• Kimberley Sterling, LPC-S
• Jerry Stettheimer, D. MIN.
• Steve Chike Echetabu

• Vascular Surgery Physician in Garland, TX
• Providers in Garland, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.