Active NPI
Kevin L Stewart, M.D.
- Family Medicine Physician
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H5806
- Practice address
- 305 River Fern Ave Apt 1425
Garland, TX 75040-2404 - Phone
- (806) 224-3369
- NPI assigned
- Jun 16, 2005
- Reactivated
- Mar 29, 2006
- Last updated
- May 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H5806 | TX | Primary |
Addresses
Primary practice location
305 River Fern Ave Apt 1425
Garland, TX 75040-2404
Mailing address
305 River Fern
Apt 1425
Garland, TX 75040
Phone (806) 224-3369
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1700 Murchison Dr
Suite 211
El Paso, TX 79902-2918
Phone (915) 533-5100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 93 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vein Disease Care of El Paso, PLLC | Current | Accepting new patients | |
| Midland Emergency Management PLLC | Past | Accepting new patients |
Locations
1700 Murchison Dr
Ste 211
El Paso, TX 79902
Phone (915) 533-5100
2400 Trawood Dr
Ste 202
El Paso, TX 79936
Phone (915) 533-5100
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.
-
- Specialist
- El Paso, TX
- NPI 1760824155
-
- Emergency Medicine Physician
- Midland, TX
- NPI 1801889993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1679578660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 RIVER FERN",
"address_2": "APT 1425",
"city": "GARLAND",
"state": "TX",
"postal_code": "75040",
"telephone_number": "806-224-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 RIVER FERN AVE APT 1425",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402404",
"telephone_number": "806-224-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KEVIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2017-05-25",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H5806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.