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STEWARD MEDICAL GROUP, INC.
NPI 1215500285
Internal Medicine in Melbourne, FL

Active since July 19, 2021CLIA 10D2210402 · Waiver
240 N WICKHAM RD STE 300, MELBOURNE, FL 32935(321) 752-1588 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Steward Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEWARD MEDICAL GROUP, INC. (NPI 1215500285) is a healthcare organization registered as an internal medicine in Melbourne, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Amy Marie Guay, President Of Steward Medical Group, as its authorized official.

NPPES Registry Identity

NPI1215500285
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTEWARD MEDICAL GROUP, INC.
Location Address240 N WICKHAM RD STE 300Melbourne, FL 32935-8661
Mailing Address9 Galen StWatertown, MA 02472-4515 · (617) 562-5628
Phone(321) 752-1588
Organization SubpartNo
Authorized OfficialAmy Marie GuayPresident Of Steward Medical Group · (617) 562-5628
Enumeration DateJuly 19, 2021
NPPES CertifiedJuly 19, 2021
✔ NPI 1215500285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
240 N WICKHAM RD STE 300, Melbourne, FL 32935
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Other Names 1

Other NameSmg Internal Medicine -melborne

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2210402

Steward Medical Group Inc · Melbourne, FL
Active · expires Jan 20, 2027
CLIA Number10D2210402
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorRichard J. Harrison
Laboratory Phone(321) 541-1777
Laboratory LocationSteward Medical Group Inc240 N Wickham Road Suite 104, Melbourne, FL 32935
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steward Medical Group, Inc.'s NPI number?

The NPI number for Steward Medical Group, Inc. is 1215500285. It was assigned to this organization in the NPPES registry on July 19, 2021. The provider is also known as SMG Internal Medicine -Melborne.

Where is Steward Medical Group, Inc. located?

Steward Medical Group, Inc. is located at 240 N Wickham Rd Ste 300, Melbourne, FL 32935. The listed phone number is (321) 752-1588.

What is Steward Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Steward Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2210402) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Steward Medical Group, Inc. was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.