NPIMap

Individual provider Active NPI

Thomas Allan Stewart Jr., M.D.

  • Otolaryngology Physician
  • Chico, CA
National Provider Identifier
1558576371
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A97950 Issued in CA
Practice address
135 Mission Ranch Blvd
Chico, CA 95926-2175
Phone
(530) 342-2411
Fax
(530) 894-5783
NPI assigned
May 14, 2007
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A97950 CA Primary

Addresses

Primary practice location

135 Mission Ranch Blvd
Chico, CA 95926-2175

Mailing address

135 Mission Ranch Blvd
Chico, CA 95926-2175
Phone (530) 342-2411

Other identifiers 1

IdentifierTypeStateIssuer
1558576371MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110210001158 CA Practitioner - Otolaryngology 4183803307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loma Linda University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

135 Mission Ranch Blvd
Suite 100
Chico, CA 95926-2175
Phone (530) 342-2411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97950CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center Otolaryngology CurrentSince Jan 1, 2014 Accepting new patients
Enloe Medical Center CurrentSince Jan 1, 2014 Accepting new patients
Enloe Medical Center Past Accepting new patients
Monroe a Sprague MD Inc Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Thomas Stewart MD Inc Past Accepting new patients
Feather River Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tstewart15460@enloedirect.org

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 2

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1558576371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MISSION RANCH BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262175",
            "telephone_number": "530-342-2411",
            "fax_number": "530-894-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MISSION RANCH BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262175",
            "telephone_number": "530-342-2411",
            "fax_number": "530-894-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "THOMAS",
        "middle_name": "ALLAN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A97950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558576371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.