DR. JAMES H STEWART (PHD, MD) – Dermatology Physician, NPI 1104870567

DR. JAMES H STEWART (PHD, MD) is a healthcare provider. based in Boise, Idaho. specializing in Dermatology Physician. They hold the professional credentials PHD, MD. They hold a License No. M6826 (ID). The NPI Number for DR. JAMES H STEWART (PHD, MD) is 1104870567

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES H STEWART (PHD, MD)
NPI
1104870567
Phone
(208) 376-3220
Address
7733 W EMERALD ST
Enumeration Date
20 May 2006
Last Update Date
22 May 2018

Doctor Profile

Medical School Name
UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2089394599
Graduation Year
1986 (40 years ago)
PAC ID
9739168105
Group Practice PAC ID
1153609813
Professional Enrollment ID
I20040831001379
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JAMES H STEWART (PHD, MD)

  • 7733, West Emerald Street, Boise Junction, Boise, Ada County, Idaho, 83704, United States

    BOISE, ID 837049020

    Phone: (208) 376-3220

    Fax: (208) 322-7370

    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)

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: 2004-08-31

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
I20040831001379IDermatologyIDTBD

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 83704)

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Provider's Procedures

DR. JAMES H STEWART (PHD, MD) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYID13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2019
DERMATOLOGYID14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips3837
DERMATOLOGYID17003Destruction of 2-14 skin growths624159

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: 1153609813View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Physician AssistantNV
Physician AssistantID
D E R M A T O L O G YNV
-AK
D E R M A T O L O G YOH
Physician AssistantTX
Physician AssistantOR
Physician AssistantOR
Physician AssistantWA

Reviews

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Frequently asked questions

Is DR. JAMES H STEWART (PHD, MD) listed with a National Provider Identifier?
Yes — DR. JAMES H STEWART (PHD, MD) has NPI 1104870567 on file in the registry.
Is there an active status for DR. JAMES H STEWART (PHD, MD)?
For scheduling context, DR. JAMES H STEWART (PHD, MD) is shown as active in the registry.
What area of care is associated with DR. JAMES H STEWART (PHD, MD)?
DR. JAMES H STEWART (PHD, MD)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Idaho is DR. JAMES H STEWART (PHD, MD) registered?
Use Boise, Idaho as the headline location for DR. JAMES H STEWART (PHD, MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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