NPIMap

Individual provider Active NPI

Steven Joseph Tilles, DPM

  • Podiatrist
  • High Point, NC
National Provider Identifier
1003860990
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
258 Issued in NC
Practice address
1814 Westchester Drive
Suite 300
High Point, NC 27262-4820
Phone
(336) 802-2055
Fax
(336) 802-2056
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 258 NC Primary

Addresses

Primary practice location

1814 Westchester Drive
Suite 300
High Point, NC 27262-4820

Mailing address

1701 Westchester Dr
Ste 850
High Point, NC 27262-7254
Phone (336) 802-2400

Other identifiers 4

IdentifierTypeStateIssuer
890816CMedicaidNC
480031936OtherNCRR MEDICARE
890803VMedicaidNC
1212660025OtherNCDME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100205000378 NC Practitioner - Podiatry 1557404043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of skin lesions1-10
Removal of nail tissue120
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
258NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Health Care CurrentSince Jul 1, 2001 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jan 1, 2019 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jul 1, 2001 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Cornerstone Health Care PA Past Accepting new patients
Cornerstone Health Care LLC Podiatrist Past Accepting new patients

Locations

375 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-4215

225 W Ward St
Asheboro, NC 27203
Phone (336) 625-3338

1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400

4515 Premier Dr
Ste 307B
High Point, NC 27265
Phone (336) 802-2250

1814 Westchester Dr
Ste 300
High Point, NC 27262
Phone (336) 716-3668

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: stilles2754933@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1003860990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "STE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627254",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 WESTCHESTER DRIVE",
            "address_2": "SUITE 300",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624820",
            "telephone_number": "336-802-2055",
            "fax_number": "336-802-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLES",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890816C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480031936",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890803V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1212660025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.