Active NPI
Knotresha Floreth Stewart, M.D.
- Internal Medicine Physician
- Dublin, VA
National Provider Identifier
1770719486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101245821
- Practice address
- 28 Town Center Drive
Dublin, VA 24084 - Phone
- (540) 835-0500
- Fax
- (540) 307-5070
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- 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 | 0101245821 | VA | Primary |
Addresses
Primary practice location
28 Town Center Drive
Dublin, VA 24084
Mailing address
28 Town Center Drive
Dublin, VA 24084
Phone (540) 835-0500
Other names 1
- Ehikioya Osemobor
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28 Town Ctr Dr
Dublin, VA 24084-6069
Phone (540) 616-8992
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Healthcare Associates, PC | Current | Accepting new patients |
Locations
28 Town Center Dr
Dublin, VA 24084
Phone (540) 616-8992
Interoperability endpoints
- knotresha.stewart@2508.securemail.prognocis.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Dublin, VA
- NPI 1255708616
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
-
- Home Health Agency
- Roanoke, VA
- NPI 1124059688
-
- General Acute Care Hospital
- Blacksburg, VA
- NPI 1275570376
-
- General Acute Care Hospital
- Pulaski, VA
- NPI 1205882396
-
- Psychiatric Hospital Unit
- Pulaski, VA
- NPI 1477018893
-
- Home Health Agency
- Christiansburg, VA
- NPI 1902219264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1770719486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 TOWN CENTER DRIVE",
"city": "DUBLIN",
"state": "VA",
"postal_code": "24084",
"telephone_number": "540-835-0500",
"fax_number": "540-307-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 TOWN CENTER DRIVE",
"city": "DUBLIN",
"state": "VA",
"postal_code": "24084",
"telephone_number": "540-835-0500",
"fax_number": "540-307-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KNOTRESHA",
"middle_name": "FLORETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101245821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EHIKIOYA",
"last_name": "OSEMOBOR",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dublin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.