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DR. STEPHEN JAMES DOLGNER M.D.
NPI 1407099138
Internal Medicine - Adult Congenital Heart Disease in Houston, TX

Active since April 10, 2009PECOS EnrolledAccepts Medicare Assignment
6651 MAIN ST, HOUSTON, TX 77030(832) 824-3278 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Jul 9, 2020, Oct 2, 2015 (3 updates tracked since 2015).

About Dr. Stephen James Dolgner M.d. NPPES

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

DR. STEPHEN JAMES DOLGNER M.D. (NPI 1407099138) is an individual adult congenital heart disease provider in Houston, Texas, licensed in Texas (334411) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Texas Childrens Hosp, and is a graduate of Duke University School Of Medicine (2009).

NPPES Registry Identity

NPI1407099138
Entity TypeIndividualMale
Primary Taxonomy207RA0002X
Provider Legal NameDR. STEPHEN JAMES DOLGNERCredential: M.D.
Location Address6651 MAIN STHouston, TX 77030-2351
Mailing Address6651 Main StHouston, TX 77030-2351 · (832) 824-3278
Phone(832) 824-3278
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2009
Enumeration DateApril 10, 2009
Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1407099138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Adult Congenital Heart DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RA0002X
License✔ Licensed in TX · 334411
Definition
A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2013-00457 (NC), 334411 (TX)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MD.MD.60545639 (WA)
6651 MAIN ST, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community Health Choice and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen James Dolgner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476794678
PECOS Enrollment IDI20200716004180
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
23 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services12 patients
Ultrasound of heart for congenital defect 93303
An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.
16 services15 patients
Ultrasound of heart blood flow, valves and chambers 93320
An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Childrens Hosp

Childrens · Houston, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453304
Location6621 Fannin StreetHouston, TX 77030 · Harris County
Emergency services

Other Providers at the Same Location NPPES 20

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

DR. ALYSON ROSE BECK PT, DPT
Physical Therapist
6651 MAIN ST
HOUSTON, TX 77030
Harris County (832) 826-2131
DR. ARUN SAINI M.D.
Pediatrics (Pediatric Critical Care Medicine)
6651 MAIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
DIVYA SABAPATHY MD, MPH
Pediatrics (Pediatric Critical Care Medicine)
6651 MAIN ST
HOUSTON, TX 77030
Harris County (832) 826-6291
LAURA LIPUT
Nurse Practitioner (Pediatrics)
6651 MAIN ST
HOUSTON, TX 77030
Harris County (832) 826-1000
JEFFREY WILKINSON
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
6651 MAIN ST
HOUSTON, TX 77030
Harris County (832) 826-8016
MARWA SALAH AHMED MANSOUR MD
Pediatrics (Pediatric Critical Care Medicine)
6651 MAIN ST
HOUSTON, TX 77030
Harris County (832) 826-6230
SYREENA A. JACKSON PT, DPT,OCS
Physical Therapist
6651 MAIN ST
HOUSTON, TX 77030
Harris County (832) 826-2248
SIMONE ROMERO
Physical Therapist
6651 MAIN ST
HOUSTON, TX 77030
Harris County (832) 826-0122

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 Dolgner's NPI number?

The NPI number for Stephen Dolgner is 1407099138. It was assigned to this individual provider in the NPPES registry on April 10, 2009.

Where is Stephen Dolgner located?

Stephen Dolgner practices at 6651 Main St, Houston, TX 77030. The listed phone number is (832) 824-3278.

What is Stephen Dolgner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Is Stephen Dolgner enrolled in Medicare?

Yes. Stephen Dolgner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Dolgner accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community Health Choice, Moda Health Plan, Inc. and WellPoint list Stephen Dolgner 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.

Is Stephen Dolgner affiliated with any hospitals?

According to CMS data, Stephen Dolgner is affiliated with Texas Childrens Hosp.

When was this NPI record last updated?

The NPPES record for Stephen Dolgner was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.