Active NPI
Rodney A Stewart, MD
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1699742528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27962
- Practice address
- 4530 E Muirwood Dr
105
Phoenix, AZ 85048-7639 - Phone
- (480) 961-2303
- Fax
- (480) 961-2306
- NPI assigned
- Feb 28, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27962 | AZ | Primary |
Addresses
Primary practice location
4530 E Muirwood Dr
105
Phoenix, AZ 85048-7639
Mailing address
4530 E Muirwood Dr
105
Phoenix, AZ 85048-7639
Phone (480) 961-2303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493552 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27962 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1699742528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"address_2": "105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"address_2": "105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "RODNEY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "27962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493552",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.