NPIMap

Individual provider Active NPI

Stephen D Fillman, MD

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1992779961
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E6076 Issued in TX
Practice address
9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889
Phone
(281) 863-9554
Fax
(832) 813-8582
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E6076 TX Primary

Addresses

Primary practice location

9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889

Mailing address

9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889
Phone (281) 863-9554

Other identifiers 3

IdentifierTypeStateIssuer
807100OtherTXBCBS OF TEXAS
037468802MedicaidTX
037468801MedicaidTX

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
I20101029001273 TX Practitioner - Internal Medicine 6002728508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Woodlands Diagnostic Clinic PAGroup PAC ID 1456762863, 5 clinicians

Practice addresses (Care Compare)

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

9201 Pinecroft Dr
Suite 200
Shenandoah, TX 77380-3889
Phone (281) 863-9554

Hospital & facility affiliations

  • Phoenix Healthcare Services, Inc Home health agency, Houston, TX, CCN 679498
  • Enhabit Home Health Home health agency, Houston, TX, CCN 673134
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6076TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Diagnostic Clinic, PA CurrentSince Sep 30, 2020 Accepting new patients

Locations

800 Peakwood Dr
Ste 4F
Houston, TX 77090
Phone (832) 232-5673

9201 Pinecroft Dr
Ste 200
Shenandoah, TX 77380
Phone (281) 394-4704

9201 Pinecroft Dr
Shenandoah, TX 77380
Phone (832) 246-8000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1992779961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 PINECROFT DR STE 200",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803889",
            "telephone_number": "281-863-9554",
            "fax_number": "832-813-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 PINECROFT DR STE 200",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803889",
            "telephone_number": "281-863-9554",
            "fax_number": "832-813-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMAN",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E6076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "807100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037468802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037468801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.