Individual provider Active NPI

Jonathan Drew Stewart, M.D.

  • Family Medicine Physician
  • Roanoke, VA
National Provider Identifier
1700814464
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101263052 Issued in VA
Practice address
2145 Mount Pleasant Blvd SE
Roanoke, VA 24014-3632
Phone
(540) 427-9200
Fax
(540) 427-3237
NPI assigned
Jun 29, 2006
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD427452 PA
Family Medicine Physician 207Q00000X 0101263052 VA Primary

Addresses

Primary practice location

2145 Mount Pleasant Blvd SE
Roanoke, VA 24014-3632

Mailing address

2145 Mount Pleasant Blvd SE
Roanoke, VA 24014-3632
Phone (540) 427-9200

Other identifiers 2

IdentifierTypeStateIssuer
1018908690001MedicaidPA
587692OtherPAHEALTH AMERICA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstewart92731@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180102002674 VA Practitioner - Family Practice 0042318701 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

1314 Peters Creek Rd
Roanoke, VA 24017-2500
Phone (540) 562-5700

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101263052VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Oct 14, 2017 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince May 24, 2022 Accepting new patients
Carilion Giles Community Hospital CurrentSince May 24, 2022 Accepting new patients
Carilion Healthcare Corporation CurrentSince May 24, 2022 Accepting new patients
Carilion Healthcare Corporation CurrentSince May 24, 2022 Accepting new patients
Carilion Giles Community Hospital CurrentSince May 24, 2022 Accepting new patients
Carilion Medical Center CurrentSince Oct 14, 2017 Accepting new patients

Locations

2900 Lamb Cir
Ste 250
Christiansburg, VA 24073
Phone (540) 639-9071

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

108 Houston St
Ste A
Lexington, VA 24450
Phone (540) 458-3344

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

430 Boxwood Ln
Pearisburg, VA 24134
Phone (540) 921-3636

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

2145 Mount Pleasant Blvd SE
Roanoke, VA 24014
Phone (540) 427-3020

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: jstewart92731@direct.carilionclinic.org

Organizations & group practices 7

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 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1700814464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 MOUNT PLEASANT BLVD SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240143632",
            "telephone_number": "540-427-9200",
            "fax_number": "540-427-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 MOUNT PLEASANT BLVD SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240143632",
            "telephone_number": "540-427-9200",
            "fax_number": "540-427-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JONATHAN",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD427452",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101263052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018908690001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "587692",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstewart92731@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jstewart92731@direct.carilionclinic.org",
            "address_1": "2145 Mount Pleasant Blvd SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240143632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.