NPIMap

Organization Active NPI

Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
National Provider Identifier
1356654495
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
STEWARD MEDICAL GROUP, INC
Practice address
77 Warren St
Brighton, MA 02135-3601
Phone
(615) 467-4158
Fax
(615) 467-1267
NPI assigned
Jul 19, 2010
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STEWARD HEALTH CARE SYSTEM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Michael J Callum, MD
Title
Ceo of Steward Physician Network
Phone
(617) 779-6303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

77 Warren St
Brighton, MA 02135-3601

Mailing address

77 Warren St
Brighton, MA 02135-3601
Phone (423) 362-9204

Other names 1

  • Steward Physician Network - Radiology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OH, PA, FL, DC, CT6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20101120000012 MA Part B Supplier - Clinic/Group Practice 2860688728 Receives reassigned benefits from 133 practitioners
Practice locations: Essex, MA; Fall River, MA; Haverhill, MA; Methuen, MA; North Easton, MA; Norwood, MA; Quincy, MA; Stoughton, MA…
O20170515002104 OH Part B Supplier - Clinic/Group Practice 2860688728 Receives reassigned benefits from 87 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Youngstown, OH; Warren, OH; Hubbard, OH; Austintown, OH; Boardman, OH; Canfield, OH; Cortland, OH; Brookfield, OH
O20170524000169 PA Part B Supplier - Clinic/Group Practice 2860688728 Receives reassigned benefits from 179 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hermitage, PA; Easton, PA; Holland, PA; Meadville, PA; Mercer, PA; New Castle, PA; Sharon, PA; Wind Gap, PA…
O20170602001215 FL Part B Supplier - Clinic/Group Practice 2860688728 Receives reassigned benefits from 277 practitioners
3 other NPIs on this enrollment
O20191204001327 DC Part B Supplier - Clinic/Group Practice 2860688728 Receives reassigned benefits from 1 practitioner
Practice locations: Kensington, MD
O20200708001995 CT Part B Supplier - Clinic/Group Practice 2860688728 Receives reassigned benefits from 1 practitioner
Practice locations: West Hartford, CT

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Steward Physician Network Inc60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations (25 of 111)

7227 N US Highway 1
Ste 20
Cocoa, FL 32927
Phone (321) 637-2975

4900 W Oakland Park Blvd
Ste 101
Lauderdale Lakes, FL 33313
Phone 30539861006186

7970 N Wickham Rd
Ste 101
Melbourne, FL 32940
Phone (321) 637-2150

8055 Spyglass Hill Rd
Ste 201
Melbourne, FL 32940

8075 Spyglass Hill Rd
Ste 108
Melbourne, FL 32940
Phone (321) 631-5677

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

1715 37th Pl
Ste 101
Vero Beach, FL 32960
Phone (321) 725-2225

920 37th Pl
Ste 105
Vero Beach, FL 32960
Phone (772) 978-5811

959 37th Pl
Vero Beach, FL 32960
Phone (772) 226-9990

7000 Spyglass Ct
Ste 120
Viera, FL 32940
Phone (321) 241-6543

50 Mill St
Arlington, MA 02476
Phone (781) 648-7077

190 Groton Rd
Ste 210
Ayer, MA 01432
Phone (978) 772-6265

10 Forbes Rd
Ste 190
Braintree, MA 02184
Phone (781) 300-7503

11 Nevins St
Ste 501
Brighton, MA 02135
Phone (617) 782-1200

11 Nevins St
Ste 506
Brighton, MA 02135
Phone (617) 782-1200

280 Washington St
Ste 309
Brighton, MA 02135
Phone (617) 782-0804

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

736 Cambridge St
Fl 3
Brighton, MA 02135
Phone (617) 789-2109

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

1 Pearl St
Ste 1300
Brockton, MA 02301
Phone (508) 232-3222

1 Pearl St
Ste 1400
Brockton, MA 02301
Phone (508) 897-6030

1 Pearl St
Ste 2500
Brockton, MA 02301
Phone (508) 588-8555

235 N Pearl St
#A
Brockton, MA 02301
Phone (508) 427-3075

830 Oak St
Ste 104W
Brockton, MA 02301
Phone (508) 427-5599

830 Oak St
Ste 105W
Brockton, MA 02301
Phone (508) 427-3668

Practitioners & affiliated clinicians

Practitioners 3,125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 3,125

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1356654495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "423-362-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "615-467-4158",
            "fax_number": "615-467-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD HEALTH CARE SYSTEM LLC",
        "enumeration_date": "2010-07-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "CALLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO OF STEWARD PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "617-779-6303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steward Physician Network - Radiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Steward Physician Network - Radiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.