Individual provider Active NPI

Stella U Ekong, MD

  • Family Medicine Physician
  • Richmond, TX
National Provider Identifier
1992764419
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7720 Issued in TX
Practice address
21922 Bellaire Blvd Ste 600
Richmond, TX 77407-3919
Phone
(832) 402-6326
Fax
(713) 424-2899
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 101774 MN
Family Medicine Physician 207Q00000X 47645 MN
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X R7720 TX Primary

Addresses

Primary practice location

21922 Bellaire Blvd Ste 600
Richmond, TX 77407-3919

Mailing address

21922 Bellaire Blvd Ste 600
Richmond, TX 77407-3919
Phone (832) 402-6326

Other names 1

  • Stella E. Etuk Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sekong94353@excellian.direct.allina.com Direct

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
I20190429002679 TX Practitioner - Family Practice 2567491954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21922 Bellaire Blvd
Richmond, TX 77407-3918
Phone (832) 402-6326

Hospital & facility affiliations

  • Dr Home Health Hospice, Houston, TX, CCN A91502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101774MNMDFamily Medicine Physician
R7720TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Family Medicine and Urgent Care Clinic LLC Multi-Specialty CurrentSince Apr 21, 2023 Accepting new patients
Grace Emergency Room, LLC Past Accepting new patients
St Francis Medical Center Multi-Specialty Past Accepting new patients

Locations

21922 Bellaire Blvd
Ste 600
Richmond, TX 77407
Phone (832) 402-6326

21922 Bellaire Blvd
Richmond, TX 77407
Phone (832) 402-6326

Interoperability endpoints

  • Direct secure messaging: sekong1701@direct.centracare.com
  • Direct secure messaging: stella.ekong@517348357308420.direct.elationemr.com
  • Direct secure messaging: sekong94353@excellian.direct.allina.com

Organizations & group practices 3

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 1

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1992764419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21922 BELLAIRE BLVD STE 600",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073919",
            "telephone_number": "832-402-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21922 BELLAIRE BLVD STE 600",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073919",
            "telephone_number": "832-402-6326",
            "fax_number": "713-424-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKONG",
        "first_name": "STELLA",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "101774",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "47645",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sekong94353@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "1021 Bandana Blvd E Ste 100",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551085109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STELLA",
            "last_name": "ETUK",
            "middle_name": "E.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.