Individual provider Active NPI

Janiece N Stewart, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1841392651
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
2019014134 Issued in MO
Practice address
4255 Laclede Ave
Saint Louis, MO 63108-2814
Phone
(314) 257-0060
Fax
(314) 912-0208
NPI assigned
Sep 2, 2006
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 2019014134 MO Primary

Addresses

Primary practice location

4255 Laclede Ave
Saint Louis, MO 63108-2814

Mailing address

4255 Laclede Ave Ste a
Saint Louis, MO 63108-2814
Phone (314) 257-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061109000179 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 6204833080 Reassigns benefits to 2 organizations
I20071026000201 MO Practitioner - Family PracticePractitioner - Other (Physician) 6204833080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Rush Medical College of Rush University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

4315 Memorial Dr
Belleville, IL 62226-5342
Phone (618) 619-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019014134MOMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Health and Chiropractic, LTD CurrentSince May 2, 2022 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Midwest Emergency Management, Inc. Past Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients
Darin Chiropractic, LLC PastSince May 15, 2008 Accepting new patients

Locations

2013 Johnson Rd
Ste C
Granite City, IL 62040
Phone (618) 931-2050

2013 Johnson Rd
Ste D
Granite City, IL 62040
Phone (618) 931-2050

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1841392651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 LACLEDE AVE STE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082814",
            "telephone_number": "314-257-0060",
            "fax_number": "314-912-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 LACLEDE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082814",
            "telephone_number": "314-257-0060",
            "fax_number": "314-912-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JANIECE",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "MO",
            "license": "2019014134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.