NPIMap

Individual provider Active NPI

Gary Stewart, MD

  • Anesthesiology Physician
  • North Vernon, IN
National Provider Identifier
1548296551
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01043106A Issued in IN
Practice address
301 Henry St
North Vernon, IN 47265-1030
Phone
(812) 352-4200
NPI assigned
Jun 23, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01043106A IN Primary
Anesthesiology Physician 207L00000X 35-067082 OH

Addresses

Primary practice location

301 Henry St
North Vernon, IN 47265-1030

Mailing address

301 Henry St
North Vernon, IN 47265-1030
Phone (812) 352-4228

Other practice location 1

200 Northland Blvd
1st FLOOR
Cincinnati, OH 45246-3604
Phone (513) 672-4128

Other identifiers 4

IdentifierTypeStateIssuer
200151030MedicaidIN
10799933OtherCAQH
0549508MedicaidOH
64956568MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050413000905 OH Practitioner - Anesthesiology 0648217471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 686-3000

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01043106AINMDAnesthesiology Physician
35-067082OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Ohio LLC Anesthesiology CurrentSince Jan 10, 2017 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince May 1, 2016 Accepting new patients
University Rehabilitation, Inc. Past Accepting new patients
Daniel Drake Center for Post-Acute Care, LLC Past Accepting new patients
University of Cincinnati Physicians Company, LLC Past Accepting new patients
West Chester Hospital LLC Past Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients

Locations

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

Organizations & group practices 7

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 9

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548296551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HENRY ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651030",
            "telephone_number": "812-352-4228",
            "fax_number": "812-352-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HENRY ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651030",
            "telephone_number": "812-352-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Northland Blvd",
            "address_2": "1st FLOOR",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452463604",
            "country_code": "US",
            "telephone_number": "513-672-4128",
            "fax_number": "513-672-4479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01043106A",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35-067082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200151030",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10799933",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0549508",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64956568",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Vernon, IN

Sources for this page

Verify at the official NPI Registry.