Individual provider Active NPI

Michael J Stewart, MD

  • Internal Medicine Physician
  • Ridley Park, PA
National Provider Identifier
1144374901
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD039631L Issued in PA
Practice address
8 Morton Ave
Suite 103
Ridley Park, PA 19078-2210
Phone
(610) 532-4306
Fax
(610) 532-6536
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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 MD039631L PA Primary

Addresses

Primary practice location

8 Morton Ave
Suite 103
Ridley Park, PA 19078-2210

Mailing address

8 Morton Ave
Suite 103
Ridley Park, PA 19078-2210
Phone (610) 532-4306

Other identifiers 1

IdentifierTypeStateIssuer
001006662MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101117001388 PA Practitioner - Internal Medicine 2466648357 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

8 Morton Ave
Ste 103
Ridley Park, PA 19078
Phone (610) 595-3360

1 Bartol Ave
Ste 103
Ridley Park, PA 19078
Phone (610) 521-3022

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1144374901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MORTON AVE",
            "address_2": "SUITE 103",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782210",
            "telephone_number": "610-532-4306",
            "fax_number": "610-532-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MORTON AVE",
            "address_2": "SUITE 103",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782210",
            "telephone_number": "610-532-4306",
            "fax_number": "610-532-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039631L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001006662",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridley Park, PA

Sources for this page

Verify at the official NPI Registry.