STEPHANIE DE JESUS (M.D.) – Internal Medicine Physician, NPI 1700870193
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for STEPHANIE DE JESUS (M.D.)
1501 N AMBURN RD STE 9
TEXAS CITY, TX 775912466
Phone: (281) 218-7200
Fax: (281) 218-7203
Type: Location
2060, East 61st Street, Brooklyn, Kings County, New York, 11234, United States
SUITE 1
BROOKLYN, NY 112345908
Phone: (347) 254-6462
Fax: (718) 306-5238
Type: Mailing
500 NE MULTNOMAH ST FL 11
PORTLAND, OR 972322023
Phone:
Type: Mailing
1501 N Amburn Rd Ste 9
Texas City, TX 775912466
Phone: (281) 218-7200
Fax: (281) 218-7203
Type: Location
2060 E 61st St
Suite 1
Brooklyn, NY 112345908
Phone: (347) 254-6462
Fax: (718) 306-5238
Type: Location
10315 NE TANASBOURNE DR
HILLSBORO, OR 971247836
Phone: (800) 813-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220510000530 | I | Internal Medicine | WA | TBD |
| I20220512002530 | I | Internal Medicine | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77591)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| Emergency Medicine | OR | |
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology | OR | |
| D E R M A T O L O G Y | WA | |
| - | OR | |
| - | CA | |
| General Surgery | CA | |
| - | OR |
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