Individual provider Active NPI

Michael Stewart, D.O.

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1053775767
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP61129447 Issued in WA
Practice address
1403 S Grand Blvd Ste 201S
Spokane, WA 99203-2278
Phone
(509) 903-5061
Fax
(800) 283-1969
NPI assigned
Apr 8, 2016
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP61129447 WA Primary

Addresses

Primary practice location

1403 S Grand Blvd Ste 201S
Spokane, WA 99203-2278

Mailing address

1403 S Grand Blvd Ste 201S
Spokane, WA 99203-2278
Phone (509) 903-5061

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NWDPC.MichaelStewart@162360.advancedmd-direct.com Health Information Exchange (HIE) Northwest Direct Primary Care

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601000276 WA Practitioner - Internal Medicine 1052710746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1403 S Grand Blvd
Suite 201S
Spokane, WA 99203-2278
Phone (509) 903-5061

624 E Front Ave
Spokane, WA 99202-2139

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP61129447WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jul 4, 2021 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Jul 4, 2021 Accepting new patients
Northwest Direct Primary Care Internal Medicine CurrentSince Oct 15, 2025 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

1403 S Grand Blvd
Ste 201S
Spokane, WA 99203
Phone (425) 328-9700

624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900

Interoperability endpoints

  • Direct secure messaging: northwestdirectprimarycare&headache.michaelstewart@162360.advancedmd-direct.com
  • Direct secure messaging: nwdpc@162360.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1053775767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 201S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032278",
            "telephone_number": "509-903-5061",
            "fax_number": "800-283-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 201S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032278",
            "telephone_number": "509-903-5061",
            "fax_number": "800-283-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP61129447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NWDPC.MichaelStewart@162360.advancedmd-direct.com",
            "affiliation": "Y",
            "endpointDescription": "HIE Endpoint",
            "affiliationName": "Northwest Direct Primary Care",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1403 S Grand Blvd Ste 201S",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992032278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.