Individual provider Active NPI

Walter Colin Stewart, DO

  • Family Medicine Physician
  • Craig, CO
National Provider Identifier
1801383146
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0063685 Issued in CO
Practice address
750 Hospital Loop
Craig, CO 81625-8750
Phone
(970) 824-9411
NPI assigned
Apr 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TL.0007307 CO
Student in an Organized Health Care Education/Training Program 390200000X TL.0007307 CO
Family Medicine Physician 207Q00000X DR.0063685 CO Primary

Addresses

Primary practice location

750 Hospital Loop
Craig, CO 81625-8750

Mailing address

750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411

Other practice location 1

729 E Spaulding Ave
Pueblo West, CO 81007-3512
Phone (719) 547-9119

Other practice location 2

902 Lakeview Ave
Pueblo, CO 81004
Phone (719) 557-5855

Other identifiers 1

IdentifierTypeStateIssuer
9000163515MedicaidCO

Other names 1

  • Colin Stewart Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210714001889 CO Practitioner - Family Practice 7719235316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Memorial HospitalGroup PAC ID 1254231533, 47 clinicians

Practice addresses (Care Compare)

600 Russell St
Craig, CO 81625-2018
Phone (970) 824-9411

750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0063685COMDFamily Medicine Physician
TL.0007307COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital CurrentSince May 1, 2023 Accepting new patients
The Memorial Hospital CurrentSince May 1, 2023 Accepting new patients

Locations

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1801383146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HOSPITAL LOOP",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816258750",
            "telephone_number": "970-824-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HOSPITAL LOOP",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816258750",
            "telephone_number": "970-824-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "729 E Spaulding Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo West",
            "state": "CO",
            "postal_code": "810073512",
            "country_code": "US",
            "telephone_number": "719-547-9119",
            "fax_number": "719-547-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "81004",
            "country_code": "US",
            "telephone_number": "719-557-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "WALTER",
        "middle_name": "COLIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL.0007307",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0007307",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0063685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000163515",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLIN",
            "last_name": "STEWART",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Craig, CO

Sources for this page

Verify at the official NPI Registry.