Individual provider Active NPI

Scott R Stanislaw, M.D.

  • Orthopaedic Surgery Physician
  • Kingwood, TX
National Provider Identifier
1912903238
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K5219 Issued in TX
Practice address
601 Rockmead Drive
Kingwood, TX 77339
Phone
(713) 486-7400
Fax
(281) 359-2816
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X K5219 TX Primary

Addresses

Primary practice location

601 Rockmead Drive
Kingwood, TX 77339

Mailing address

601 Rockmead Dr
Kingwood, TX 77339-2107
Phone (713) 486-7400

Other identifiers 2

IdentifierTypeStateIssuer
096546903MedicaidTX
5116615OtherTXAETNA PROVIDER NUMBER

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
I20050922000388 TX Practitioner - Orthopedic Surgery 8820022544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Pennsylvania, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

10425 Huffmeister Rd
Houston, TX 77065-3429
Phone (281) 955-2650

2635 W Baker Rd
Baytown, TX 77521-2206
Phone (281) 337-8550

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

601 Rockmead Dr
Suite 100
Kingwood, TX 77339-2107
Phone (281) 955-2650

7718 Garth Rd
Baytown, TX 77521-2206
Phone (713) 347-9031

Hospital & facility affiliations

  • Memorial Hermann Surgical Hospital Kingwood Hospital, Kingwood, TX, CCN 670005
  • Townsen Memorial Hospital Hospital, Humble, TX, CCN 670266
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as individual
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement13
Lower limb (leg) arthroscopy (minimally invasive joint repair)17
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5219TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Nov 1, 2023 Accepting new patients
Ut Physicians CurrentSince Jan 29, 2018 Accepting new patients
Ut Physicians CurrentSince Jan 29, 2018 Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Nov 1, 2023 Accepting new patients
Timberland Medical Group Past Accepting new patients

Locations

2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

6400 Fannin St
Ste 2250
Houston, TX 77030
Phone (713) 486-5555

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

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

18955 N Memorial Dr
Ste 570
Humble, TX 77338
Phone (281) 659-9412

601 Rockmead Dr
Kingwood, TX 77339
Phone (281) 359-5115

601 Rockmead Dr
Ste 100
Kingwood, TX 77339
Phone (281) 359-5115

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

Interoperability endpoints

  • Direct secure messaging: sstanislaw@direct.uspi.com

Organizations & group practices 5

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 4

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1912903238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ROCKMEAD DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392107",
            "telephone_number": "713-486-7400",
            "fax_number": "281-359-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROCKMEAD DRIVE",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "713-486-7400",
            "fax_number": "281-359-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISLAW",
        "first_name": "SCOTT",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K5219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096546903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5116615",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.