Kenneth Stewart, MD

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

License

91-318 Issued in NM

Practice address

1640 Old Pecos TRL Ste E
Santa Fe, NM 87505-4777

Phone

(505) 670-9778

NPI assigned

Mar 28, 2006

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Los Alamos Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Los Alamos, NM
  • NPI 1679965883
  Medicare reassignment NPD

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1811958150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 OLD PECOS TRL STE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054777",
            "telephone_number": "505-670-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 OLD PECOS TRL STE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054777",
            "telephone_number": "505-670-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NM",
            "license": "91-318",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "91-318",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "91-318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000R7779",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416182",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc A. Stess, DPM
• Steve Gibbs DDS PC
• Steven C Robeson MD PC (Steven C. Robeson, MD and Associates, PC)
• Kirsten Stevens Wing
• Katherine L. Stevens, LMSW
• Kristina Stewart
• Amelia Page Stickney, LMT
• Tony Stidham
• Rubyann Stiegelmeier, LMT
• Melanie Ann Stillion, LMT

• Infusion Therapy Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Infusion Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.