Active NPI
Elizabeth A Stewart, M.D.
- Internal Medicine Physician
- Belleville, IL
National Provider Identifier
1508848490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036067867
- Practice address
- 2900 Frank Scott Pkwy W
Suite 904
Belleville, IL 62223-5000 - Phone
- (618) 234-0640
- Fax
- (314) 851-4475
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036067867 | IL | Primary |
Addresses
Primary practice location
2900 Frank Scott Pkwy W
Suite 904
Belleville, IL 62223-5000
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (618) 234-0640
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036067867 | Other | IL | ILLINOIS PUBLIC AID |
| 118517 | Other | IL | HEALTHLINK |
| 036067867 | Medicaid | IL | |
| 132702 | Other | IL | BCBS TRI ST |
| 5812269 | Other | IL | AETNA |
| 000000010038 | Other | IL | ESSENCE |
| 0455346 | Other | IL | UHC |
| 127482 | Other | IL | GHP |
| E20962 | Other | IL | MERCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiromed LTD | Past | Accepting new patients | |
| Washington University | Past | Accepting new patients |
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.
-
- Chiropractor
- Belleville, IL
- NPI 1962403907
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1194765685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1508848490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "618-234-0640",
"fax_number": "314-851-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 FRANK SCOTT PKWY W",
"address_2": "SUITE 904",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622235000",
"telephone_number": "618-234-0640",
"fax_number": "314-851-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036067867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS PUBLIC AID",
"identifier": "036067867",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "118517",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036067867",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TRI ST",
"identifier": "132702",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5812269",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE",
"identifier": "000000010038",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0455346",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "127482",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "E20962",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.