JACOB T STEPHENSON MD
NPI 1265411979
Surgery - Pediatric Surgery in Houston, TX

Active since January 11, 2006PECOS Enrolled
1102 BATES AVE # FC1440, HOUSTON, TX 77030(832) 828-3660 Get Directions Write a Review

NPPES record last updated: January 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2024, Jul 24, 2023, Feb 4, 2022 and 1 more (4 updates tracked since 2015).

About Jacob T Stephenson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB T STEPHENSON MD (NPI 1265411979) is an individual pediatric surgery provider in Houston, Texas, licensed in Texas (U5819) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265411979
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameJACOB T STEPHENSONCredential: MD
Location Address1102 BATES AVE # FC1440Houston, TX 77030-2698
Mailing Address1102 Bates Ave # Fc1440Houston, TX 77030-2698 · (832) 828-3660
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJanuary 7, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2024
NPI 1265411979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses Licensed in TX · U5819 Licensed in CA · 92264
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License U5819 (TX)
1102 BATES AVE # FC1440, Houston, TX 77030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob T Stephenson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1102 BATES AVE # FC1440
HOUSTON, TX 77030
Physical Medicine & Rehabilitation (Pain Medicine)
1102 BATES AVE # FC1440
HOUSTON, TX 77030

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 Jacob Stephenson's NPI number?

The NPI number for Jacob Stephenson is 1265411979. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Jacob Stephenson located?

Jacob Stephenson practices at 1102 Bates Ave # Fc1440, Houston, TX 77030. The listed phone number is (832) 828-3660.

What is Jacob Stephenson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Jacob Stephenson enrolled in Medicare?

Yes. Jacob Stephenson is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Stephenson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Jacob Stephenson 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 Jacob Stephenson was last updated on January 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.