DR. ANDRE BYARD STOVALL MD NPI 1013988294

NPI Information

  • NPI: 1013988294
  • Provider Name: DR. ANDRE BYARD STOVALL, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5001 US HIGHWAY 30 W STE D
    FORT WAYNE, IN
    ZIP 46818
  • Phone: (260) 432-1568

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NPI Details

DR. Andre Byard Stovall, MD is a diagnostic radiology radiology in Fort Wayne, IN with 34 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Andre Byard Stovall, MD NPI is 1013988294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818-701
Phone: (260) 432-1568
Fax: (260) 432-4969

The NPI 1013988294 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 1/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology01046801AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013988294MEDICAIDMICHIGAN
22030386MEDICAIDOHIO
3200129240MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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