Individual provider Active NPI

John D. Stewart II, M.D.

  • Family Medicine Physician
  • Frankfort, KY
National Provider Identifier
1184621583
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23137 Issued in KY
Practice address
4200 Lawrenceburg Rd
Frankfort, KY 40601
Phone
(502) 227-4821
Fax
(502) 227-3013
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23137 KY Primary

Addresses

Primary practice location

4200 Lawrenceburg Rd
Frankfort, KY 40601

Mailing address

4200 Lawrenceburg Rd
Frankfort, KY 40601-8936
Phone (502) 227-4821

Other identifiers 1

IdentifierTypeStateIssuer
64231376MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190204001256 KY Practitioner - Family Practice 5698663540 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Home School Inc Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Dr John P Stewart PSC Past Accepting new patients

Locations

4200 Lawrenceburg Rd
#A
Frankfort, KY 40601
Phone (502) 783-2321

4200 Lawrenceburg Rd
Ste A
Frankfort, KY 40601
Phone (502) 227-4821

4200 Lawrenceburg Rd
Frankfort, KY 40601
Phone (502) 219-7762

Interoperability endpoints

  • Direct secure messaging: johnstewart@fsa.allscriptsdirect.net

Organizations & group practices 2

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1184621583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAWRENCEBURG RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406018936",
            "telephone_number": "502-227-4821",
            "fax_number": "502-227-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAWRENCEBURG RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "40601",
            "telephone_number": "502-227-4821",
            "fax_number": "502-227-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JOHN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "23137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64231376",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.