Active NPI
Janiece N Stewart, M.D.
- Sports Medicine (Internal Medicine) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 2019014134
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rush Medical College of Rush University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019014134 | MO | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Health and Chiropractic, LTD | Current | 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 | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1437736881
-
- Physical Medicine & Rehabilitation Physician
- Granite City, IL
- NPI 1205571262
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679503668
-
- Chiropractor
- Granite City, IL
- NPI 1841457926
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Urgent Care Clinic/Center
- O'Fallon, IL
- NPI 1487601506
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.