Individual provider Active NPI

Kevin D Stuart, MD

  • Gastroenterology Physician
  • Gilroy, CA
National Provider Identifier
1912966185
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G71509 Issued in CA
Practice address
9460 No Name Uno
Suite 130
Gilroy, CA 95020
Phone
(408) 847-1311
Fax
(408) 847-1322
NPI assigned
Mar 17, 2006
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G71509 CA Primary

Addresses

Primary practice location

9460 No Name Uno
Suite 130
Gilroy, CA 95020

Mailing address

9460 No Name Uno
Suite 130
Gilroy, CA 95020
Phone (408) 847-1311

Other names 1

  • Dr. Kevin D Stuart Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001508 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7517859234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
State University of Ny Upstate Medical University, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9460 N Name Uno
Suite 130
Gilroy, CA 95020-3532
Phone (408) 847-1311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Jun 11, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jun 11, 2021 Accepting new patients

Locations

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

9460 No Name Uno
Ste 130
Gilroy, CA 95020
Phone (408) 847-1311

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Interoperability endpoints

  • Direct secure messaging: kstuart11571@santaclaravalley.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1912966185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 NO NAME UNO",
            "address_2": "SUITE 130",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-847-1311",
            "fax_number": "408-847-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 NO NAME UNO",
            "address_2": "SUITE 130",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-847-1311",
            "fax_number": "408-847-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G71509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "STUART",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.