Individual provider Active NPI

Beverly Jean Stoute, M.D.

  • Specialist
  • Eastchester, NY
National Provider Identifier
1801942503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
193326 Issued in NY
Practice address
274 White Plains Rd
Suite 4
Eastchester, NY 10709-4419
Phone
(914) 337-7951
Fax
(914) 337-7954
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 193326 NY Primary

Addresses

Primary practice location

274 White Plains Rd
Suite 4
Eastchester, NY 10709-4419

Mailing address

274 White Plains Rd
Suite 4
Eastchester, NY 10709-4419
Phone (914) 337-7951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 5, 2019 through Sep 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
193326NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801942503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 WHITE PLAINS RD",
            "address_2": "SUITE 4",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107094419",
            "telephone_number": "914-337-7951",
            "fax_number": "914-337-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 WHITE PLAINS RD",
            "address_2": "SUITE 4",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107094419",
            "telephone_number": "914-337-7951",
            "fax_number": "914-337-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUTE",
        "first_name": "BEVERLY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "193326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

Verify at the official NPI Registry.