Individual provider Active NPI

Carrie J Stewart, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Novi, MI
National Provider Identifier
1689655185
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301080187 Issued in MI
Practice address
46325 W 12 Mile Rd
Ste 100
Novi, MI 48377
Phone
(877) 784-3667
Fax
(248) 869-3982
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301080187 MI Primary

Addresses

Primary practice location

46325 W 12 Mile Rd
Ste 100
Novi, MI 48377

Mailing address

46325 W 12 Mile Rd
Ste 100
Novi, MI 48377
Phone (877) 784-3667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100707000421 MI Practitioner - Physical Medicine and Rehabilitation 3870594302 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates PC CurrentSince Dec 1, 2014 Accepting new patients
Henry Ford Health System CurrentSince Oct 17, 2018 Accepting new patients
University Neurosurgical Associates, PC CurrentSince Dec 1, 2014 Accepting new patients
Henry Ford Health System CurrentSince Oct 17, 2018 Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

46325 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 618-2121

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: cstewart550134@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1689655185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD",
            "address_2": "STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "877-784-3667",
            "fax_number": "248-869-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD",
            "address_2": "STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "877-784-3667",
            "fax_number": "248-869-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CARRIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301080187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.