STEPHEN S IM MDPA
NPI 1063664845
Internal Medicine - Pulmonary Disease in San Antonio, TX
About Stephen S Im Mdpa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN S IM MDPA (NPI 1063664845) is a healthcare organization registered as a pulmonary disease in San Antonio, Texas and active in the NPI registry since October 2008. The organization maintains a secondary practice location in Live Oak and lists Stephen S Im, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephen S Im Mdpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Stephen S Im Mdpa, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stephen S Im Mdpa's NPI number?
The NPI number for Stephen S Im Mdpa is 1063664845. It was assigned to this organization in the NPPES registry on October 11, 2008.
Where is Stephen S Im Mdpa located?
Stephen S Im Mdpa is located at 8715 Village Dr # 118, San Antonio, TX 78217. The listed phone number is (210) 655-6400.
What is Stephen S Im Mdpa's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Stephen S Im Mdpa enrolled in Medicare?
Yes. Stephen S Im Mdpa is registered in the Medicare PECOS enrollment system.
When is Stephen S Im Mdpa's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Stephen S Im Mdpa?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Stephen S Im Mdpa, in Nurse Practitioner and Pulmonary Disease. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Stephen S Im Mdpa accept?
Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Stephen S Im Mdpa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stephen S Im Mdpa was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stephen S Im Mdpa · NPI 1063664845
Pulmonary Disease organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since October 11, 2008.
## Identity
- **NPI:** 1063664845 (Entity type: Organization)
- **Enumerated:** October 11, 2008
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Stephen Im, OWNER
## Practice location
- **Address:** 8715 VILLAGE DR # 118, San Antonio, TX 78217-5405
- **Phone:** (210) 655-6400 · **Fax:** (210) 655-6404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Pulmonary Disease (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063664845) · Data from the CMS NPPES public registry.