NPIMap

Individual provider Active NPI

David L Stewart, MD

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1184716722
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D32273 Issued in MD
Practice address
29 S Paca St
Baltimore, MD 21201-1771
Phone
(410) 328-6792
Fax
(410) 328-8726
NPI assigned
Sep 29, 2006
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D32273 MD
Family Medicine Physician 207Q00000X D32273 MD Primary

Addresses

Primary practice location

29 S Paca St
Baltimore, MD 21201-1771

Mailing address

PO Box 64380
Baltimore, MD 21264-4380
Phone (667) 214-1800

Other identifiers 1

IdentifierTypeStateIssuer
382891300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119001300 MD Practitioner - Family PracticePractitioner - Sports Medicine 3072684778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

29 S Paca St
Baltimore, MD 21201-1771
Phone (667) 214-2100

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 214-2100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. Specialist CurrentSince Jan 1, 1975 Accepting new patients
University of Maryland Family Medicine Associates, P.a. Specialist CurrentSince Jan 1, 1975 Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Sep 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

29 S Paca St
Baltimore, MD 21201
Phone (410) 328-2603

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

Interoperability endpoints

  • Direct secure messaging: dstewart6495@direct.umm.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1184716722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64380",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644380",
            "telephone_number": "667-214-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011771",
            "telephone_number": "410-328-6792",
            "fax_number": "410-328-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D32273",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D32273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382891300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.