Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023042900 Individual Practitioner Female Practitioner

Stephanie D. Desandro , PA

Physician Assistant • Houston, TX

Professional Overview & Biography Verified Profile Summary

Stephanie Desandro, PA is a registered healthcare professional specializing in Physician Assistant in Houston, TX. Practice services are available at 5656 KELLEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5656 Kelley St

Houston, TX 770261967

Telephone 7135665775
Fax 7135665024
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
1817 Specialists

Practicing in Houston, TX (11140 Statewide)

Telehealth Adoption Rate
17.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA03686

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License TX PA03686

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
181497201 (TX)
Commercial Insurance / Payer ID Cshcn
003182516 (TX)
Commercial Insurance / Payer ID Bcbs
8N3838 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Emily Samp , PA-C

Physician Assistant - Medical

NPI 1205486594

Physician Assistant (Certified)

Vrutik Patel

Physician Assistant - Medical

NPI 1619722956
Tina Chacko , PA

Physician Assistant

NPI 1639100944

Physician Assistant

Katherine Erdman , PA

Physician Assistant

NPI 1700962289

Physician Assistant

Seema Mahmud , PA

Physician Assistant

NPI 1972533206

Physician Assistant

Dr. Kalyani Koduri , MD

Internal Medicine

NPI 1982634200

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2016

Registered at 5656 KELLEY ST, HOUSTON, TX 770261967 (Tel: 7135665775)

📍
Updated Business Mailing Address August 01, 2016

Registered at PO BOX 301173, DALLAS, TX 753031173 (Tel: 7135003500)

👤
Provider Name / Credentials Updated August 01, 2016

Recorded as STEPHANIE DESANDRO, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2016

Physician Assistant (License #PA03686 in TX)

🟢
Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023042900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: August 01, 2016
Sole Proprietor: No

Mailing Address

Po Box 301173

Dallas, TX 753031173

Phone: 7135003500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.