Organization Active NPI

Stewart Family Medicine

  • Primary Care Clinic/Center
  • Pittsburg, KS
National Provider Identifier
1912353988
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0437649 Issued in KS
Legal business name
STEWART FAMILY MEDICINE
Practice address
1003 W 4TH St
Pittsburg, KS 66762-4645
Phone
(620) 404-5220
Fax
(913) 815-8049
NPI assigned
May 10, 2016
Last updated
Jun 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Chad Stewart, MDNPI 1699111088
Title
Manager
Phone
(913) 231-5766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0437649 KS Primary

Addresses

Primary practice location

1003 W 4TH St
Pittsburg, KS 66762-4645

Mailing address

1003 W 4TH St
Pittsburg, KS 66762-4645
Phone (620) 404-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160708001798 KS Part B Supplier - Clinic/Group Practice 0941592182 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburg, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2127743Stewart Family Medicine1003 W 4TH St, Pittsburg, KS 66762Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

1003 W 4th St
Pittsburg, KS 66762
Phone (620) 231-1340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1912353988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W 4TH ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667624645",
            "telephone_number": "620-404-5220",
            "fax_number": "913-815-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W 4TH ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667624645",
            "telephone_number": "620-404-5220",
            "fax_number": "913-815-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-231-5766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": "0437649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.