Active NPI
Kyle Stewart
- Pediatrics Physician
- La Grange, KY
National Provider Identifier
1841728847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 56960
- Practice address
- 2307 S Highway 53
La Grange, KY 40031-8568 - Phone
- (150) 222-5627
- Fax
- (502) 225-6278
- NPI assigned
- Jun 2, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 56960 | KY | Primary |
Addresses
Primary practice location
2307 S Highway 53
La Grange, KY 40031-8568
Mailing address
PO Box 950293
Louisville, KY 40295-0293
Phone (188) 898-7187
Other practice location 1
9710 Park Plaza Ave Unit 107
Louisville, KY 40241-2292
Phone (502) 339-2901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56960 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Pediatrics, PLLC | Pediatrics | Current | Accepting new patients |
| Oldham County Pediatrics, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Louisville, KY
- NPI 1063855450
-
- Pediatrics Physician
- La Grange, KY
- NPI 1538223235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1841728847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950293",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950293",
"telephone_number": "188-898-7187",
"fax_number": "405-792-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 S HIGHWAY 53",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400318568",
"telephone_number": "150-222-5627",
"fax_number": "502-225-6278"
}
],
"practiceLocations": [
{
"address_1": "9710 Park Plaza Ave Unit 107",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402412292",
"country_code": "US",
"telephone_number": "502-339-2901",
"fax_number": "502-339-2905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-02",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "56960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.