Active NPI
Kyle Leslie Stewart, MD
- Psychiatry Physician
- Bartlesville, OK
National Provider Identifier
1861509101
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 19, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11925
- Practice address
- 3400 E Frank Phillips Blvd
Suite 402
Bartlesville, OK 74006-2440 - Phone
- (918) 335-1616
- Fax
- (918) 335-1617
- NPI assigned
- Aug 24, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 11925 | OK | Primary |
Addresses
Primary practice location
3400 E Frank Phillips Blvd
Suite 402
Bartlesville, OK 74006-2440
Mailing address
3400 E Frank Phillips Blvd
Suite 402
Bartlesville, OK 74006-2440
Phone (918) 335-1616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100198620B | Other | KS | MEDICAID |
| 100151970A | Medicaid | OK |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Counseling Services of Northeastern Oklahoma | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Bartlesville, OK
- NPI 1639471881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249344000000",
"number": "1861509101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 E FRANK PHILLIPS BLVD",
"address_2": "SUITE 402",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062440",
"telephone_number": "918-335-1616",
"fax_number": "918-335-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 E FRANK PHILLIPS BLVD",
"address_2": "SUITE 402",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062440",
"telephone_number": "918-335-1616",
"fax_number": "918-335-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KYLE",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2009-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "11925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "100198620B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100151970A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.