Individual provider Active NPI

Holly Ellen Stewart, MD

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1164453056
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD425191 Issued in PA
Practice address
412 E Commons
Pittsburgh, PA 15212-5310
Phone
(412) 323-4500
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD425191 PA Primary
Psychiatry Physician 2084P0800X C55227 CA

Addresses

Primary practice location

412 E Commons
Pittsburgh, PA 15212-5310

Mailing address

3241 Parkview Ave
Pittsburgh, PA 15213-4513
Phone (412) 448-6121

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
I20060804000114 PA Practitioner - Psychiatry 8628081916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 E Commons
Pittsburgh, PA 15212-5310

Three Penn Ctr W
Suite 127
Pittsburgh, PA 15276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425191PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Life Center Corp CurrentSince Jul 5, 2006 Accepting new patients
Mercy Life Center Corporation Current Accepting new patients
Contra Costa County PastSince Feb 4, 2013 Accepting new patients

Locations

412 E Commons
Pittsburgh, PA 15212
Phone (412) 323-4500

925 Penn Ave
Pittsburgh, PA 15222
Phone (412) 325-4075

1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1164453056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 PARKVIEW AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152134513",
            "telephone_number": "412-448-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E COMMONS",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125310",
            "telephone_number": "412-323-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "HOLLY",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD425191",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C55227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.