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KEVIN STEPHENS MD PA
NPI 1710168935
Family Medicine in Austin, TX

Active since November 15, 2007
4100 DUVAL RD, BLDG 2 STE 202, AUSTIN, TX 78759(512) 454-1123(512) 454-1710 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kevin Stephens Md Pa NPPES

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

KEVIN STEPHENS MD PA (NPI 1710168935) is a healthcare organization registered as a family medicine in Austin, Texas and active in the NPI registry since November 2007. The organization lists Kevin Austin Stephens, President Md, as its authorized official.

NPPES Registry Identity

NPI1710168935
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKEVIN STEPHENS MD PA
Location Address4100 DUVAL RD, BLDG 2 STE 202Austin, TX 78759
Mailing Address4100 Duval Rd, Bldg 2 Ste 202Austin, TX 78759 · (512) 454-1123 · Fax (512) 454-1710
Phone(512) 454-1123
Fax(512) 454-1710
Organization SubpartNo
Authorized OfficialKevin Austin StephensPresident Md · (512) 454-1123
Enumeration DateNovember 15, 2007
✔ NPI 1710168935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J9820
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4100 DUVAL RD, Austin, TX 78759
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Other Identifiers 2

Medicare UPIN8885B6TX
Medicare PIN00722TTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Kevin Stephens Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20050914001410Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin Stephens MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Stephens, MD
Family Practice
NPI 1255414314
4100 DUVAL ROAD BLDG 2 STE 202
Austin, TX 78759
(512) 454-1123
✔ PECOSSame address

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 Kevin Stephens MD PA's NPI number?

The NPI number for Kevin Stephens MD PA is 1710168935. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Kevin Stephens MD PA located?

Kevin Stephens MD PA is located at 4100 Duval Rd Bldg 2 Ste 202, Austin, TX 78759. The listed phone number is (512) 454-1123.

What is Kevin Stephens MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Stephens MD PA enrolled in Medicare?

Yes. Kevin Stephens MD PA is registered in the Medicare PECOS enrollment system.

When is Kevin Stephens MD PA'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 January 31, 2027. 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 Kevin Stephens MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kevin Stephens MD PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Stephens MD PA was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.