Individual provider Active NPI

Elizabeth D Porter, M.D.

  • Internal Medicine Physician
  • Andrews Air Force Base, MD
National Provider Identifier
1346361052
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
025407 Issued in LA
Practice address
1050 W Perimeter Rd
Andrews Afb
Andrews Air Force Base, MD 20762-6601
Phone
(240) 857-8906
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 025407 LA Primary

Addresses

Primary practice location

1050 W Perimeter Rd
Andrews Afb
Andrews Air Force Base, MD 20762-6601

Mailing address

171 Somervelle St Apt 204
Alexandria, VA 22304-8649
Phone (571) 276-9592

Other names 1

  • Dr. Elizabeth D Stewart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250415001862 SC Practitioner - Internal Medicine 4284879883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Critical Care Services PCGroup PAC ID 8729992060, 32 clinicians

Practice addresses (Care Compare)

1438 N Point LN
Mount Pleasant, SC 29464-4615
Phone (314) 514-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025407LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Services, P.C. CurrentSince Feb 2, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

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.

Hospital & facility affiliations 3

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1346361052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SOMERVELLE ST APT 204",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223048649",
            "telephone_number": "571-276-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W PERIMETER RD",
            "address_2": "ANDREWS AFB",
            "city": "ANDREWS AIR FORCE BASE",
            "state": "MD",
            "postal_code": "207626601",
            "telephone_number": "240-857-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "025407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STEWART",
            "middle_name": "D",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andrews Air Force Base, MD

Sources for this page

Verify at the official NPI Registry.