NPIMap

Individual provider Active NPI

Luke Mitchell Stewart, M.D.

  • Vascular Surgery Physician
  • Florence, SC
National Provider Identifier
1265965958
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
90673 Issued in SC
Practice address
101 William H Johnson St Ste 100
Florence, SC 29506-2771
Phone
(843) 777-7043
Fax
(843) 777-7041
NPI assigned
Apr 10, 2017
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 90673 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

101 William H Johnson St Ste 100
Florence, SC 29506-2771

Mailing address

625 19TH St S
Birmingham, AL 35233-1900
Phone (205) 934-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20231121000392 SC Practitioner - Vascular Surgery 3577840339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Brody School of Medicine at East Carolina University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

101 William H Johnson St
Suite 100
Florence, SC 29506-2771
Phone (843) 777-7043

2724 W Palmetto St
Suite 2
Florence, SC 29501-4909
Phone (843) 292-1900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)91
Removal of tissue68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90673SCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Oct 1, 2023 Accepting new patients
McLeod Physician Associates II Current Accepting new patients
McLeod Physician Associates II CurrentSince Oct 1, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
McLeod Physician Associates II Past Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Past Accepting new patients

Locations

101 William H Johnson St
Ste 100
Florence, SC 29506
Phone (843) 662-5233

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3980 Highway 9 E
Ste 310
Little River, SC 29566
Phone (843) 390-8100

Interoperability endpoints

  • Direct secure messaging: lstewart86150@directmcleodehealth.org

Organizations & group practices 6

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 4

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1265965958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-2006",
            "fax_number": "205-934-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H JOHNSON ST STE 100",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062771",
            "telephone_number": "843-777-7043",
            "fax_number": "843-777-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LUKE",
        "middle_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "90673",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.