MRS. EDYTHE WOODRUFF STEWART (MD) – Surgery Physician, NPI 1497775720

MRS. EDYTHE WOODRUFF STEWART (MD) is a healthcare provider. based in Merced, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A65931 (CA). The NPI Number for MRS. EDYTHE WOODRUFF STEWART (MD) is 1497775720

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EDYTHE WOODRUFF STEWART (MD)
NPI
1497775720
Phone
(209) 325-4897
Address
105 W EL PORTAL DR STE B
Enumeration Date
20 July 2006
Last Update Date
26 September 2023

Doctor Profile

Medical School Name
COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
6613967100
Graduation Year
1996 (30 years ago)
PAC ID
4587651633
Group Practice PAC ID
5890934426
Professional Enrollment ID
I20110407000561
Address ID
CA933096279BA5401XLNXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,317 GENERAL SURGERY in CA

Provider Addresses for MRS. EDYTHE WOODRUFF STEWART (MD)

  • 105 W EL PORTAL DR STE B

    MERCED, CA 953482858

    Phone: (209) 325-4897

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $9,652.

Total Amount is formed as General ($9,652) + Research ($0) + Ownership ($0) = $9,652.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($9,600).

Total Amount

$9,652

General + Research + Ownership

Payments

5

Total payment records

General Amount

$9,652

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-04-07

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
I20110407000561IGeneral SurgeryCATBD

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 95348)

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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: 5890934426View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
Marriage And Family TherapistCA
Nurse PractitionerCA
Nurse PractitionerCA
Clinical Social WorkerCA
Physician AssistantCA
Internal Medicine, Family PracticeCA
Internal MedicineCA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

Is MRS. EDYTHE WOODRUFF STEWART (MD) listed with a National Provider Identifier?
Yes — MRS. EDYTHE WOODRUFF STEWART (MD) has NPI 1497775720 on file in the registry.
Active or inactive — what applies to MRS. EDYTHE WOODRUFF STEWART (MD)?
You should see MRS. EDYTHE WOODRUFF STEWART (MD) as active in CMS-hosted NPPES data.
What area of care is associated with MRS. EDYTHE WOODRUFF STEWART (MD)?
MRS. EDYTHE WOODRUFF STEWART (MD)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MRS. EDYTHE WOODRUFF STEWART (MD) associated with Merced?
Public fields place MRS. EDYTHE WOODRUFF STEWART (MD) around Merced, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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