NATHANIEL ROBERT STEWART (MD) – Family Medicine Physician, NPI 1063773422

NATHANIEL ROBERT STEWART (MD) is a healthcare provider. based in South bend, Indiana. specializing in INTERNAL MEDICINE, FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01073332A (IN). The NPI Number for NATHANIEL ROBERT STEWART (MD) is 1063773422

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL ROBERT STEWART (MD)
NPI
1063773422
Phone
(574) 335-8399
Address
1122 S IRONWOOD DR
Enumeration Date
1 June 2012
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5743358399
Graduation Year
2012 (14 years ago)
PAC ID
3173751534
Group Practice PAC ID
8325950843
Professional Enrollment ID
I20141021002161
Address ID
IN466151618SO1122XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,517 INTERNAL MEDICINE in IN

Provider Addresses for NATHANIEL ROBERT STEWART (MD)

  • 1122 S IRONWOOD DR

    SOUTH BEND, IN 46615

    Phone: (574) 335-8399

    Fax: (574) 335-0786

    Type: Location

  • 1949 Hospital Dr

    Martinsville, IN 461511861

    Phone: (765) 342-8383

    Fax: (765) 349-8413

    Type: Location

  • 1122 S Ironwood Dr

    South Bend, IN 46615

    Phone: (574) 335-8399

    Fax: (574) 335-0786

    Type: Location

  • 707 CEDAR ST STE 200

    SOUTH BEND, IN 466172057

    Phone:

    Type: Mailing

  • 12563 STATE RD 23

    GRANGER, IN 465309226

    Phone: (574) 335-8300

    Fax: (574) 335-0775

    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: 2014-10-21

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
I20141021002161IInternal MedicineINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes526306$0
99214Established patient office or other outpatient visit, 30-39 minutes449303$0
36415Insertion of needle into vein for collection of blood sample347264$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit250250$0
83036Hemoglobin a1c level193119$0
View full utilization report →

Insurance plans in this area (ZIP 46615)

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Provider's Procedures

NATHANIEL ROBERT STEWART (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIN90670Pneumococcal vaccine for injection into muscle1111

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: 8325950843View full group profile

Reviews

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Frequently asked questions

How do payers reference NATHANIEL ROBERT STEWART (MD)?
For NATHANIEL ROBERT STEWART (MD), use NPI 1063773422 as the unique 10-digit identifier.
Is NATHANIEL ROBERT STEWART (MD) still an active registrant?
NATHANIEL ROBERT STEWART (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for NATHANIEL ROBERT STEWART (MD)?
At a glance, NATHANIEL ROBERT STEWART (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is NATHANIEL ROBERT STEWART (MD) located near South Bend?
NATHANIEL ROBERT STEWART (MD) currently maps to South Bend, Indiana in this extract.
Does NATHANIEL ROBERT STEWART (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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