Active NPI
Martha E Stewart, MD
- Dermatology Physician
- Mandeville, LA
National Provider Identifier
1972535284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 022941
- Practice address
- 4060 Lonesome Rd
Mandeville, LA 70448-7085 - Phone
- (985) 727-7701
- Fax
- (985) 727-7375
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 022941 | LA | Primary |
Addresses
Primary practice location
4060 Lonesome Rd
Mandeville, LA 70448-7085
Mailing address
4060 Lonesome Rd
Mandeville, LA 70448-7085
Phone (985) 727-7701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1485951 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Tulane University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4060 Lonesome Rd
Mandeville, LA 70448-7085
Phone (985) 727-7701
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.18 of 100
- Quality
- 98.36
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 142 |
| Skin biopsy | 97 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022941 | LA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha E Stewart MD LLC | Dermatology | Current | Accepting new patients |
| Dermatology and Allergy Clinic of South Louisiana LTD Apmc | Dermatology | Past | Accepting new patients |
| Abbeville General Hospital | Past | Accepting new patients |
Locations
4060 Lonesome Rd
Mandeville, LA 70448
Phone (504) 483-3514
Interoperability endpoints
- mstewart1@marthastewart.emadirect.md
Organizations & group practices 3
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.
-
- Dermatology Physician
- Mandeville, LA
- NPI 1265460869
-
- Anesthesiology Physician
- Abbeville, LA
- NPI 1780616094
-
- Dermatology Physician
- Lafayette, LA
- NPI 1083648919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1972535284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 LONESOME RD",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704487085",
"telephone_number": "985-727-7701",
"fax_number": "985-727-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 LONESOME RD",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704487085",
"telephone_number": "985-727-7701",
"fax_number": "985-727-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MARTHA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "022941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1485951",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.