NPIMap

Individual provider Active NPI

Randy L Stewart, M.D.

  • Internal Medicine Physician
  • Claude, TX
National Provider Identifier
1841262003
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G8442 Issued in TX
Practice address
201 S. Park St.
Claude, TX 79019-0130
Phone
(806) 226-5611
Fax
(806) 226-6703
NPI assigned
Feb 2, 2006
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G8442 TX Primary

Addresses

Primary practice location

201 S. Park St.
Claude, TX 79019-0130

Mailing address

201 S. Park St.
PO Box 130
Claude, TX 79019-0130
Phone (806) 226-5611

Other identifiers 4

IdentifierTypeStateIssuer
1371858015MedicaidTX
000X9521MedicaidNM
063682101MedicaidTX
100179660 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080625000128 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 5092886614 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Texas Tech University Health Science Center School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians
FMC Palliative Care, LLCGroup PAC ID 6406268358, 8 clinicians

Practice addresses (Care Compare)

1000 S Coulter St
Suite 100
Amarillo, TX 79106-1781
Phone (806) 212-4701

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2129

1751 Wallace Blvd
Amarillo, TX 79106-1711
Phone (806) 359-4673

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 350-7325

3501 S Soncy Rd
Suite 150
Amarillo, TX 79119-6426
Phone (806) 212-6353

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Medical Foundation, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Bsa Physicians Group Inc CurrentSince Jan 1, 2013 Accepting new patients
Bsa Physicians Group Inc Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Panhandle Family Care LLC CurrentSince Jun 1, 2020 Accepting new patients
Energydocs LLC Current Accepting new patients
FMC Long-Term Care, P.a. CurrentSince Dec 30, 2019 Accepting new patients
FMC Palliative Care, LLC CurrentSince Aug 15, 2020 Accepting new patients
Panhandle Family Care LLC PastSince Feb 7, 2021 Accepting new patients
Childress County Hospital District Past Accepting new patients
FMC Hospice - Conroe LLC Past Accepting new patients
Childress County Hospital District PastSince Oct 1, 2010 Accepting new patients
FMC LTC Aco LLC Past Accepting new patients

Locations

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

2329 Ross Osage St
Amarillo, TX 79103
Phone (806) 350-5790

2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325

5211 SW 9th Ave
Ste 100
Amarillo, TX 79106
Phone (806) 356-0026

5211 W 9th Ave
Amarillo, TX 79106
Phone (806) 350-8277

201 Parks St
Claude, TX 79019
Phone (806) 226-5611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
  • Direct secure messaging: randy.stewart.1@25616.direct.athenahealth.com
  • Direct secure messaging: rstewart21487@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Palo Duro Nursing HomeClaude, TX, CCN 455641 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2010
Oct 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1841262003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S. PARK ST.",
            "address_2": "PO BOX 130",
            "city": "CLAUDE",
            "state": "TX",
            "postal_code": "790190130",
            "telephone_number": "806-226-5611",
            "fax_number": "806-226-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. PARK ST.",
            "city": "CLAUDE",
            "state": "TX",
            "postal_code": "790190130",
            "telephone_number": "806-226-5611",
            "fax_number": "806-226-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RANDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G8442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1371858015",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000X9521",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063682101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100179660 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claude, TX

Sources for this page

Verify at the official NPI Registry.