Individual provider Active NPI

Heather Stewart, M.D.

  • General Practice Physician
  • Miramar, FL
National Provider Identifier
1063946374
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME164302 Issued in FL
Practice address
3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Phone
(954) 399-4673
NPI assigned
Apr 13, 2017
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD49120 AL
Student in an Organized Health Care Education/Training Program 390200000X FL
General Practice Physician 208D00000X ME164302 FL Primary

Addresses

Primary practice location

3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314

Mailing address

3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Phone (954) 399-4673

Other practice location 1

1401 Centerville Rd
Suite 107
Tallahassee, FL 32308-4647
Phone (850) 431-5564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241011001003 FL Practitioner - General Practice 3072843663 Reassigns benefits to 1 organization
I20241206001359 AL Practitioner - General Practice 3072843663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Florida State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of FL LLCGroup PAC ID 6406039882, 73 clinicians

Practice addresses (Care Compare)

100 N Lake St
Crescent City, FL 32112-2620
Phone (866) 877-7123

1028 Bessemer Rd
Birmingham, AL 35228-1103
Phone (205) 923-1777

1780 N Jefferson Hwy
Monticello, FL 32344-5536
Phone (866) 877-7123

1784 Elkahatchee Rd
Alexander City, AL 35010-4800
Phone (256) 329-3311

2020 N Country Club Dr
Montgomery, AL 36106-1614
Phone (334) 263-1643

236 W Claiborne St
Monroeville, AL 36460-1704
Phone (251) 575-2648

2831 Highland Ave S
Birmingham, AL 35205-1801
Phone (205) 323-2724

300 Faulkner Dr
Bay Minette, AL 36507-2771
Phone (251) 937-8049

300 Royal Tower Dr
Homewood, AL 35209-6865
Phone (205) 870-5666

350 4TH Ave NE
Carbon Hill, AL 35549-4212
Phone (205) 924-4404

7054 Veterans Pkwy
Pell City, AL 35125-5117
Phone (205) 338-6487

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue928
Removal of skin lesions58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD49120ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC General Practice CurrentSince Aug 26, 2024 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Aug 26, 2024 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Aug 26, 2024 Accepting new patients
Florida Post Acute Care Clinicians, LLC General Practice CurrentSince Aug 26, 2024 Accepting new patients
Vohra Wound Physicians of FL, LLC Past Accepting new patients

Locations

445 Dexter Ave
Ste 4050
Montgomery, AL 36104
Phone (205) 854-1361

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (352) 514-8830

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

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.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1063946374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276314",
            "telephone_number": "954-399-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276314",
            "telephone_number": "954-399-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Centerville Rd",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084647",
            "country_code": "US",
            "telephone_number": "850-431-5564",
            "fax_number": "850-431-5563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "HEATHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "MD49120",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME164302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.