Active NPI
David D Stuart, MD
- Endocrinology, Diabetes & Metabolism Physician
- Minneapolis, MN
National Provider Identifier
1720024409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 19242
- Practice address
- 701 Park Ave
S1
Minneapolis, MN 55415-1829 - Phone
- (612) 873-6800
- Fax
- (612) 904-4322
- NPI assigned
- Jun 21, 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 19242 | MN | Primary |
Addresses
Primary practice location
701 Park Ave
S1
Minneapolis, MN 55415-1829
Mailing address
701 Park Ave
Mail Code G5
Minneapolis, MN 55415-1829
Phone (612) 873-7381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 652370600 | Medicaid | MN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1720024409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"address_2": "MAIL CODE G5",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151829",
"telephone_number": "612-873-7381",
"fax_number": "612-904-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"address_2": "S1",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151829",
"telephone_number": "612-873-6800",
"fax_number": "612-904-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "DAVID",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MN",
"license": "19242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "652370600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.