Individual provider Active NPI

Adrienne Elizabeth Stewart, M.D.

  • Dermatology Physician
  • Denver, CO
National Provider Identifier
1154454353
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
30356 Issued in CO
Practice address
3300 E 1St Ave
Suite 400
Denver, CO 80206-5810
Phone
(303) 333-6060
Fax
(303) 333-9239
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 30356 CO Primary

Addresses

Primary practice location

3300 E 1St Ave
Suite 400
Denver, CO 80206-5810

Mailing address

3300 East 1St Avenue
Suite 400
Denver, CO 80206-5817
Phone (303) 333-6060

Other identifiers 2

IdentifierTypeStateIssuer
ST86691OtherCOBLUE SHIELD
ST86691OtherBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050131000706 CO Practitioner - Dermatology 7719937325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3300 E 1St Ave
Suite 400
Denver, CO 80206-5817
Phone (303) 333-6060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions464
Removal or shaving of skin growth1-10
Skin biopsy96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30356COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Surgery & Dermatology of Cherry Creek PC Dermatology CurrentSince Apr 1, 2009 Accepting new patients

Locations

210 University Blvd
Ste 460
Denver, CO 80206
Phone (303) 333-6060

3300 E 1st Ave
Ste 400
Denver, CO 80206
Phone (303) 333-6060

Organizations & group practices 1

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1154454353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EAST 1ST AVENUE",
            "address_2": "SUITE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065817",
            "telephone_number": "303-333-6060",
            "fax_number": "303-333-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 1ST AVE",
            "address_2": "SUITE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065810",
            "telephone_number": "303-333-6060",
            "fax_number": "303-333-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ADRIENNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "30356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ST86691",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ST86691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.