Individual provider Active NPI

Shae W. Steward, M.D.

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1275979734
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.41860 Issued in AL
Practice address
250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone
(205) 943-4600
Fax
(205) 943-4660
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 078308 GA
Ophthalmology Physician 207W00000X MD.41860 AL Primary

Addresses

Primary practice location

250 State Farm Pkwy
Birmingham, AL 35209-7181

Mailing address

250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone (205) 943-4600

Other names 1

  • Shae A. Widick Former name

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
I20210302000648 AL Practitioner - Ophthalmology 2163657883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Alabama College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians
Eye Health Partners of Alabama IncGroup PAC ID 4385530740, 13 clinicians

Practice addresses (Care Compare)

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone (205) 943-4600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.41860ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Alabama at Birmingham CurrentSince Jan 1, 2023 Accepting new patients
University of Alabama at Birmingham CurrentSince Jan 1, 2023 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Eye Health Partners of Alabama Inc Ophthalmology CurrentSince Feb 1, 2022 Accepting new patients
Alabama Vision Center, LLC Ophthalmology PastSince Mar 1, 2021 Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

250 State Farm Pkwy
Homewood, AL 35209
Phone (205) 943-4650

971 Fairfax Park
Ste D
Tuscaloosa, AL 35406
Phone (205) 561-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shae.steward@eyehealthpartners.direct.eyemdemr.com

Organizations & group practices 5

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1275979734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STATE FARM PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097181",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STATE FARM PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097181",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "SHAE",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "078308",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.41860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAE",
            "last_name": "WIDICK",
            "middle_name": "A.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.