Individual provider Active NPI

Steven M Wadsworth, DPM

  • Podiatrist
  • Morristown, TN
National Provider Identifier
1073564902
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM514 Issued in TN
Practice address
420 W Morris Blvd
Ste 400D Health Star Physicians
Morristown, TN 39813
Phone
(423) 586-7509
Fax
(423) 581-5701
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM514 TN Primary

Addresses

Primary practice location

420 W Morris Blvd
Ste 400D Health Star Physicians
Morristown, TN 39813

Mailing address

420 W Morris Blvd
Ste 400D Health Star Physicians
Morristown, TN 39813
Phone (423) 586-7509

Other identifiers 1

IdentifierTypeStateIssuer
3352969MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steven.wadsworth.1@3525.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000608 TN Practitioner - Podiatry 9335229384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

420 W Morris Blvd
Morristown, TN 37813-2282

420 W Morris Blvd
Suite 400H
Morristown, TN 37813-2283
Phone (423) 586-4545

657 E Broadway Blvd
Suite a
Jefferson City, TN 37760-4949
Phone (865) 475-9062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue446
Removal or shaving of skin growth436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM514TNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. CurrentSince Jul 1, 2000 Accepting new patients
Healthstar Physicians PC CurrentSince Jul 1, 2000 Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients

Locations

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

420 W Morris Blvd
Ste 400D
Morristown, TN 37813
Phone (423) 581-5700

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1073564902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "STE 400D HEALTH STAR PHYSICIANS",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "39813",
            "telephone_number": "423-586-7509",
            "fax_number": "423-581-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "STE 400D HEALTH STAR PHYSICIANS",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "39813",
            "telephone_number": "423-586-7509",
            "fax_number": "423-581-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3352969",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.wadsworth.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "420 W Morris Blvd",
            "address_2": "Ste 400D Health Star Physicians",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "39813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.