Active NPI
Rosalyn W Stewart, MD
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1619905338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0060151
- Practice address
- 601 North Caroline Street
Suite 7.143
Baltimore, MD 21287-0941 - Phone
- (410) 955-3613
- Fax
- (410) 614-1195
- NPI assigned
- Jun 29, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0060151 | MD | Primary |
| Pediatrics Physician | 208000000X | DOO60151 | MD | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | D60151 | MD | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | D60151 | MD |
Addresses
Primary practice location
601 North Caroline Street
Suite 7.143
Baltimore, MD 21287-0941
Mailing address
601 North Caroline Street
Suite 7.143
Baltimore, MD 21287-0941
Phone (410) 955-3613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402199100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0060151 | MD | MD | Internal Medicine Physician |
| DOO60151 | MD | MD | Pediatrics Physician |
| D60151 | MD | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- rstewart1284894@direct.hopkinsmedicine.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1619905338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 NORTH CAROLINE STREET",
"address_2": "SUITE 7.143",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870941",
"telephone_number": "410-955-3613",
"fax_number": "410-614-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 NORTH CAROLINE STREET",
"address_2": "SUITE 7.143",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870941",
"telephone_number": "410-955-3613",
"fax_number": "410-614-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ROSALYN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0060151",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "DOO60151",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MD",
"license": "D60151",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "MD",
"license": "D60151",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402199100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.