NPIMap

Individual provider Active NPI

David D Stewart, M.D.

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1922093228
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200001255009 Issued in NC
Practice address
114 Broadfoot Ave
Fayetteville, NC 28305-5002
Phone
(910) 484-1156
Fax
(910) 484-0398
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200001255009 NC Primary

Addresses

Primary practice location

114 Broadfoot Ave
Fayetteville, NC 28305-5002

Mailing address

114 Broadfoot Ave
Fayetteville, NC 28305-5002
Phone (910) 484-1156

Other identifiers 1

IdentifierTypeStateIssuer
79841OtherNCBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000349 NC Practitioner - Internal Medicine 3173667193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

114 Broadfoot Ave
Fayetteville, NC 28305-5002
Phone (910) 484-1156

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Fayetteville, NC, CCN 347241
  • Cape Fear Valley Home Health Home health agency, Fayetteville, NC, CCN 347127
  • Liberty Home Care, LLC Home health agency, Fayetteville, NC, CCN 347249
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as individual
Quality
94.67
Improvement activities
40
Cost
77.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29176NCMDPharmacist
200001255009NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Clinic, PA Internal Medicine CurrentSince Jun 6, 2000 Accepting new patients

Locations

114 Broadfoot Ave
Fayetteville, NC 28305
Phone (910) 484-1156

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1922093228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BROADFOOT AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055002",
            "telephone_number": "910-484-1156",
            "fax_number": "910-484-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BROADFOOT AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055002",
            "telephone_number": "910-484-1156",
            "fax_number": "910-484-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200001255009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "79841",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.