Individual provider Active NPI

Stewart Barry Fleishman, MD

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • Cathedral City, CA
National Provider Identifier
1790760106
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084H0002X
License
C54266 Issued in CA
Practice address
67782 E Palm Canyon Dr
Suite 286
Cathedral City, CA 92234-5433
Phone
(917) 226-3002
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X C54266 CA Primary
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X 143908 NY

Addresses

Primary practice location

67782 E Palm Canyon Dr
Suite 286
Cathedral City, CA 92234-5433

Mailing address

67782 E Palm Canyon Dr
Suite 286
Cathedral City, CA 92234-5433
Phone (917) 226-3002

Other identifiers 1

IdentifierTypeStateIssuer
00793408MedicaidNY

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

LicenseStateTypeSpecialty
C54266CAMDHospice and Palliative Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Touch Hospice Care Inc PastSince Dec 1, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1790760106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67782 E PALM CANYON DR",
            "address_2": "SUITE 286",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345433",
            "telephone_number": "917-226-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67782 E PALM CANYON DR",
            "address_2": "SUITE 286",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345433",
            "telephone_number": "917-226-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHMAN",
        "first_name": "STEWART",
        "middle_name": "BARRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "C54266",
            "primary": true
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "143908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00793408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.