Randy L Stewart, M.D.
Individual provider Active NPI Internal Medicine Physician · Claude, TX
NPI 1841262003 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1841262003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G8442 (TX)
- Practice address
- 201 S. Park St.
Claude, TX 79019-0130 - Phone
- (806) 226-5611
- Fax
- (806) 226-6703
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- 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 Inc
FMC Palliative Care, LLC
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
- Bsa Hospital
- Golden Plains Community Hospital
- Palo Duro Nursing Home
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Palo Duro Nursing Home |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Oct 1, 2010 Oct 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080625000128 | TX | Practitioner - Internal Medicine |
5092886614 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8442 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FMC Medical Foundation, Inc. | Current |
Accepting new patients | |
| FMC Long-Term Care, P.a. | Current |
Accepting new patients | |
| Panhandle Family Care LLC | Current |
Accepting new patients | |
| FMC Palliative Care, LLC | Current |
Accepting new patients | |
| Energydocs LLC | Current | Accepting new patients | |
| Bsa Physicians Group Inc | Current |
Accepting new patients | |
| Bsa Physicians Group Inc | Internal Medicine | Current |
Accepting new patients |
| Panhandle Family Care LLC | Past |
Accepting new patients | |
| Childress County Hospital District | Past |
Accepting new patients | |
| FMC LTC Aco LLC | Past | Accepting new patients | |
| Childress County Hospital District | Past | Accepting new patients | |
| FMC Hospice - Conroe LLC | Past | Accepting new patients |
Locations
5211 SW 9th Ave
Ste 100
Amarillo, TX 79106
Phone (806) 356-0026
5211 W 9th Ave
Amarillo, TX 79106
Phone (806) 350-8277
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
201 Parks St
Claude, TX 79019
Phone (806) 226-5611
Interoperability endpoints
- https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
- randy.stewart.1@25616.direct.athenahealth.com
- rstewart21487@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G8442 | TX | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063682101 | Medicaid | TX | |
| 1371858015 | Medicaid | TX | |
| 000X9521 | Medicaid | NM | |
| 100179660 A | Medicaid | OK |
Other providers in Claude, TX
- Palo Duro Nursing Home Inc
- Panhandle Family Care LLC
- Amy Eleanore Ray
- Rural Rd
- Melissa Soto
- True Blue Counseling Center
- Randy C Wright
- Jean Ann Wyble
All providers in Claude, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.