Active NPI
Kimberly D. Stewart, D.O.
- Radiation Oncology Physician
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- M0284
- Practice address
- 4920 NE Stallings Dr
Nacogdoches, TX 75965-1254 - Phone
- (936) 569-9481
- Fax
- (936) 568-3400
- NPI assigned
- Dec 6, 2005
- Last updated
- Mar 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | M0284 | TX | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 34.016958 | OH |
Addresses
Primary practice location
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Mailing address
9102 Floyd Curl Dr
San Antonio, TX 78240-1553
Phone (210) 616-9922
Other practice location 1
524 W High St
Bryan, OH 43506-1618
Phone (419) 636-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 488741YMJM | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proactive Therapy of North Carolina Inc
Practice addresses (Care Compare)
20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 568-3541
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.016958 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Radiation Oncology | Current | Accepting new patients |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Midwest Community Health Associates, Inc. | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Oncology San Antonio | Current | Accepting new patients | |
| Midwest Community Health Associates, Inc. | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Third Coast Radiation Oncology Association | Radiation Oncology | Past | Accepting new patients |
| Radiation Oncology of San Antonio, PA | Past | Accepting new patients | |
| Wellmed Medical Group, PA | Past | Accepting new patients | |
| Pro Physicians Clinic PA | Radiation Oncology | Past | Accepting new patients |
| BHS Specialty Network Inc | Past | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
442 W High St
Bryan, OH 43506
Phone (260) 266-8210
524 W High St
Bryan, OH 43506
Phone (419) 636-9800
3030 North St
Ste 420
Beaumont, TX 77702
Phone (409) 835-2900
1415 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 861-9760
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
12705 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 599-0922
4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441
19288 Stone Oak Pkwy
#B
San Antonio, TX 78258
Phone (210) 490-2707
215 E Quincy St
Bsmt B100
San Antonio, TX 78215
Phone (210) 299-8000
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
8019 S New Braunfels
Ste 101
San Antonio, TX 78235
Phone (210) 922-5556
9102 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 247-0888
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- kstewart595093@direct.parkviewexchange.com
Organizations & group practices 15
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.
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
dba CHRISTUS Physician Group
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
Radiation Oncology
-
- Hematology & Oncology Physician
- San Antonio, TX
- NPI 1790180370
-
- General Practice Physician
- Bryan, OH
- NPI 1225167893
-
- Family Medicine Physician
- Bryan, OH
- NPI 1619915170
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
dba CHRISTUS Physician Group
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Medicare Defined Swing Bed Hospital Unit
- Montpelier, OH
- NPI 1386687218
-
- Durable Medical Equipment & Medical Supplies
- Bryan, OH
- NPI 1942770581
-
dba Heart & Vascular Institute of Texas
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
-
- Radiation Oncology Physician
- Fort Worth, TX
- NPI 1609020031
-
- Specialist
- San Antonio, TX
- NPI 1184789232
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sabine County Hospital
- Critical Access Hospital
- Hemphill, TX
- NPI 1932379856
-
dba Nacogdoches Medical Center
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1417941295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1184608739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9102 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401553",
"telephone_number": "210-616-9922",
"fax_number": "512-597-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651254",
"telephone_number": "936-569-9481",
"fax_number": "936-568-3400"
}
],
"practiceLocations": [
{
"address_1": "524 W High St",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "OH",
"postal_code": "435061618",
"country_code": "US",
"telephone_number": "419-636-9800",
"fax_number": "419-636-0451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "KIMBERLY",
"middle_name": "D.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "M0284",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "34.016958",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "488741YMJM",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.