Individual provider Active NPI

John Alvin Stewart, M.D.

  • Dermatology Physician
  • Opelika, AL
National Provider Identifier
1265423313
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
00009216 Issued in AL
Practice address
122 N 20TH St
BLDG 25
Opelika, AL 36801-5442
Phone
(334) 749-5604
Fax
(334) 749-3040
NPI assigned
Oct 28, 2005
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 00009216 AL Primary

Addresses

Primary practice location

122 N 20TH St
BLDG 25
Opelika, AL 36801-5442

Mailing address

122 N 20TH St
BLDG 25
Opelika, AL 36801-5442
Phone (334) 749-5604

Other identifiers 1

IdentifierTypeStateIssuer
510-06042OtherALBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnstewartmd@stewartderm.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110817000404 AL Practitioner - Dermatology 5294904793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 N 20TH St
Suite 25
Opelika, AL 36801-5442
Phone (334) 749-5604

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.66 of 100Reported as individual
Quality
88.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1097
Removal of skin lesions7323
Removal of nail tissue11
Removal or shaving of skin growth749
Skin biopsy280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00009216ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Stewart M.D., P.C. CurrentSince Nov 11, 1994 Accepting new patients

Locations

122 N 20th St
Bldg 25
Opelika, AL 36801
Phone (334) 749-5604

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: john.stewart.1@19249.direct.athenahealth.com
  • Direct secure messaging: johnstewartmd@stewartderm.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1265423313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST",
            "address_2": "BLDG 25",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-749-5604",
            "fax_number": "334-749-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST",
            "address_2": "BLDG 25",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-749-5604",
            "fax_number": "334-749-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JOHN",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "00009216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-06042",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnstewartmd@stewartderm.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "122 N 20th St",
            "address_2": "Bldg 25",
            "city": "Opelika",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368015442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.