Individual provider Active NPI

Devin Alexander Stein, PA-C

  • Physician Assistant
  • Kingwood, TX
National Provider Identifier
1881297182
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14037 Issued in TX
Practice address
3411 Cedar Knolls Dr Ste B
Kingwood, TX 77339-2474
Phone
(281) 532-5462
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14037 TX Primary

Addresses

Primary practice location

3411 Cedar Knolls Dr Ste B
Kingwood, TX 77339-2474

Mailing address

3411 Cedar Knolls Dr Ste B
Kingwood, TX 77339-2474
Phone (281) 532-5462

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210603000341 TX Practitioner - Physician Assistant 2062811508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bharath G RajGroup PAC ID 6002101839, 8 clinicians

Practice addresses (Care Compare)

1849 Kingwood Dr
Suite 105
Kingwood, TX 77339-2974

3411 Cedar Knolls Dr
Suite B
Kingwood, TX 77339-2474
Phone (281) 532-5462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14037TXMDPhysician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1881297182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 CEDAR KNOLLS DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392474",
            "telephone_number": "281-532-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 CEDAR KNOLLS DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392474",
            "telephone_number": "281-532-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "DEVIN",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.