Individual provider Active NPI

Colten Stewart

  • Internal Medicine Physician
  • Iowa City, IA
National Provider Identifier
1760007280
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R-11958 Issued in IA
Practice address
University of Iowa Hospitals and Clinics
200 Hawkins Drive, Dept. Internal Medicine
Iowa City, IA 52242-1009
Phone
(319) 356-2034
NPI assigned
Jun 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R-11958 IA Primary

Addresses

Primary practice location

University of Iowa Hospitals and Clinics
200 Hawkins Drive, Dept. Internal Medicine
Iowa City, IA 52242-1009

Mailing address

University of Iowa Hospitals and Clinics
200 Hawkins Drive, Dept. of Internal Medicine
Iowa City, IA 52242-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20200716001744 IA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4688098163

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wright State University Boonshoft School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

515 22ND Ave
Monroe, WI 53566-1569

515 22ND Ave
Monroe, WI 53566-1598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1760007280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
            "address_2": "200 HAWKINS DRIVE, DEPT. OF INTERNAL MEDICINE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
            "address_2": "200 HAWKINS DRIVE, DEPT. INTERNAL MEDICINE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "COLTEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R-11958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.