KATHERINE S. STEWART (MD) – Family Medicine Physician, NPI 1205914975

KATHERINE S. STEWART (MD) is a healthcare provider. based in Oakland, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. G58914 (CA). The NPI Number for KATHERINE S. STEWART (MD) is 1205914975

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE S. STEWART (MD)
NPI
1205914975
Phone
(510) 625-6262
Address
1800 HARRISON ST FL 7
Enumeration Date
1 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
5304778545
Graduation Year
1985 (41 years ago)
PAC ID
7719162338
Group Practice PAC ID
4981688520
Professional Enrollment ID
I20110426000327
Address ID
CA959455208GR1350XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for KATHERINE S. STEWART (MD)

  • Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States

    OAKLAND, CA 946123429

    Phone: (510) 625-6262

    Type: Mailing

  • Kaiser Permanente Medial Offices, 2155, Iron Point Road, Willow Springs, Folsom, Sacramento County, California, 95630, United States

    FOLSOM, CA 956308707

    Phone: (916) 817-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110426000327IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981688520View full group profile
NameSpecialtyState
Psychiatry, NeurologyFL
Nurse PractitionerCA
Nurse PractitionerCA
Clinical Social WorkerCA
Nurse PractitionerCA
Nurse PractitionerCA
Family PracticePA
Family PracticeCA
O P T O M E T R YNY
Family PracticeCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHERINE S. STEWART (MD)?
KATHERINE S. STEWART (MD) — NPI 1205914975 — is the standard way to identify this listing.
Is KATHERINE S. STEWART (MD) listed as active for patients and plans?
The listing shows KATHERINE S. STEWART (MD) as active in the NPI system.
What is KATHERINE S. STEWART (MD)'s primary classification?
Family Medicine Physician is the headline specialty for KATHERINE S. STEWART (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect KATHERINE S. STEWART (MD) on a map?
Expect Oakland, California as a primary anchor for KATHERINE S. STEWART (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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