Individual provider Active NPI

David Lawrence Stewart, MD

  • Gastroenterology Physician
  • Paris, TX
National Provider Identifier
1629139803
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F5053 Issued in TX
Practice address
2850 Lewis LN
Ste 111
Paris, TX 75460-9383
Phone
(903) 785-0025
Fax
(903) 784-4140
NPI assigned
Dec 12, 2006
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X F5053 TX Primary

Addresses

Primary practice location

2850 Lewis LN
Ste 111
Paris, TX 75460-9383

Mailing address

2850 Lewis LN
Ste 111
Paris, TX 75460-9383
Phone (903) 785-0025

Other identifiers 3

IdentifierTypeStateIssuer
100023180AOtherTXSTATE ID
100009183OtherTXMEDICARE RAILROAD
124728002MedicaidTX

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
I20110411000626 TX Practitioner - Gastroenterology 2365626637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Pennsylvania State University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PRMC Healthcare Group, Inc.Group PAC ID 6406919901, 41 clinicians

Practice addresses (Care Compare)

2850 Lewis LN
Paris, TX 75460-9378

2870 Lewis LN
Paris, TX 75460-9380

865 Deshong Dr
Paris, TX 75460-9313
Phone (903) 737-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy222
Upper gastrointestinal (GI) endoscopy for acid reflux212

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PRMC Healthcare Group Inc CurrentSince Dec 1, 2010 Accepting new patients
PRMC Healthcare Group Inc CurrentSince Dec 1, 2010 Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

2850 Lewis Ln
Ste 111
Paris, TX 75460
Phone (903) 785-0025

2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830

2870 Lewis Ln
Ste 230
Paris, TX 75460
Phone (903) 739-7830

Interoperability endpoints

  • Direct secure messaging: david.stewart.1@1744.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clarksville Family ClinicClarksville, TX, CCN 673955 Rural health clinic Corporate Director Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1629139803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "STE 111",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609383",
            "telephone_number": "903-785-0025",
            "fax_number": "903-784-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "STE 111",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609383",
            "telephone_number": "903-785-0025",
            "fax_number": "903-784-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F5053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "100023180A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "100009183",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124728002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.