Individual provider Active NPI

Ronald Addan Stewart, D.O.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1558307991
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9364 Issued in TX
Practice address
7120 McCart Ave
Fort Worth, TX 76133-4200
Phone
(817) 294-5624
Fax
(817) 294-4711
NPI assigned
Jun 22, 2006
Last updated
May 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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 J9364 TX Primary

Addresses

Primary practice location

7120 McCart Ave
Fort Worth, TX 76133-4200

Mailing address

7120 McCart Ave
Fort Worth, TX 76133
Phone (817) 294-5624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080326000994 TX Practitioner - Internal Medicine 7911083290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Ronald a Stewart DO PAGroup PAC ID 1153496559, 2 clinicians

Practice addresses (Care Compare)

7120 McCart Ave
Fort Worth, TX 76133-7298
Phone (817) 294-5624

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald a Stewart, D.O., P.a. Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Ralph a Brooks, M.D. LLC Past Accepting new patients

Locations

6263 McCart Ave
Ste 100
Ft Worth, TX 76133
Phone (817) 294-5624

7120 McCart Ave
Ft Worth, TX 76133
Phone (817) 294-5624

Interoperability endpoints

  • Direct secure messaging: ronald.stewart@mmainc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1558307991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76133",
            "telephone_number": "817-294-5624",
            "fax_number": "817-294-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761334200",
            "telephone_number": "817-294-5624",
            "fax_number": "817-294-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RONALD",
        "middle_name": "ADDAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.