DR. STELLA GRACE IMMANUEL (MD) – Family Medicine Physician, NPI 1902947120
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. STELLA GRACE IMMANUEL (MD)
25231 ROESNER LN
KATY, TX 774945537
Phone: (281) 506-7412
Fax: (281) 530-2882
Type: Mailing
6718 Highway 6 S
Houston, TX 770831512
Phone: (281) 506-7412
Fax: (281) 530-2882
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: 2020-02-18
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 |
|---|---|---|---|---|
| I20170630001975 | I | Emergency Medicine | LA | TBD |
| I20200218001308 | I | Family Practice | TX | 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 77494)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Sports Medicine | LA | |
| - | LA | |
| Family Practice | LA | |
| General Surgery | LA | |
| Internal Medicine, Hospitalist | LA | |
| General Practice, Family Practice | FL | |
| Emergency Medicine | KS | |
| - | LA | |
| Family Practice, Emergency Medicine | LA | |
| Emergency Medicine | LA |
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