NPIMap

Individual provider Active NPI

Stephen P Maniscalco, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Shenandoah, TX
National Provider Identifier
1891716403
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
L1655 Issued in TX
Practice address
9201 Pinecroft Dr
Suite 210
Shenandoah, TX 77380-3222
Phone
(936) 441-1010
Fax
(832) 442-3081
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X L1655 TX Primary

Addresses

Primary practice location

9201 Pinecroft Dr
Suite 210
Shenandoah, TX 77380-3222

Mailing address

920 Medical Plaza Dr Ste 360
Shenandoah, TX 77380-3271
Phone (281) 803-8482

Other practice location 1

920 Medical Plaza Dr Ste 360
Shenandoah, TX 77380-3271
Phone (281) 803-8482

Other identifiers 1

IdentifierTypeStateIssuer
145174205MedicaidTX

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
I20040405000223 TX Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiac Surgery 9638162936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6400 Fannin St
Suite 2850
Houston, TX 77030-1540
Phone (713) 704-3961

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion19
Coronary artery bypass graft (CABG)66
Pacemaker insertion or repair1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Varicose vein removal26
Leg revascularization (restoring blood flow)42
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 1, 2025 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2025 Accepting new patients
Elite Heart, Lung, and Vein Surgeons Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 5, 2018 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Southern Texas Physicians Network Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Mar 1, 2005 Accepting new patients

Locations

6410 Fannin St
Ste 135
Houston, TX 77030

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

6400 Fannin St
Ste 2850
Houston, TX 77030
Phone (713) 486-5100

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

800 Peakwood Dr
Ste 6F
Houston, TX 77090
Phone (281) 298-2847

920 Medical Plaza Dr
Ste 360
Shenandoah, TX 77380
Phone (281) 803-8482

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Interoperability endpoints

  • Direct secure messaging: stephen.maniscalco.1@21406.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21406/brand/1/csg/1/fhir/r4

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 12

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1891716403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 360",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803271",
            "telephone_number": "281-803-8482",
            "fax_number": "281-803-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 PINECROFT DR",
            "address_2": "SUITE 210",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803222",
            "telephone_number": "936-441-1010",
            "fax_number": "832-442-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Medical Plaza Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803271",
            "country_code": "US",
            "telephone_number": "281-803-8482",
            "fax_number": "281-803-8432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L1655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145174205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.