Individual provider Active NPI

Ronald A Stiller, MD

  • Pulmonary Disease Physician
  • Walla Walla, WA
National Provider Identifier
1154396109
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD60720548 Issued in WA
Practice address
401 W Poplar St
Walla Walla, WA 99362-2846
Phone
(095) 897-3320
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD029256E PA
Pulmonary Disease Physician 207RP1001X MD60720548 WA Primary

Addresses

Primary practice location

401 W Poplar St
Walla Walla, WA 99362-2846

Mailing address

1116 Lancaster Ave
Pittsburgh, PA 15218-1013
Phone (412) 334-7949

Other practice location 1

1116 Lancaster Ave
Pittsburgh, PA 15218-1013
Phone (412) 334-7949

Other identifiers 1

IdentifierTypeStateIssuer
001118560MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rstiller782597@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170228001444 WA Practitioner - Critical Care (Intensivists) 5092609982 Reassigns benefits to 3 organizations
I20180110001216 CA Practitioner - Critical Care (Intensivists) 5092609982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
George Washington University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 897-3320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60720548WAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC CurrentSince May 1, 2017 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 26, 2017 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 26, 2017 Accepting new patients
South Sound Inpatient Physicians PLLC Current Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince May 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of California, Inc CurrentSince Nov 15, 2017 Accepting new patients
Sound Physicians Intensivists of Washington PLLC Critical Care Medicine CurrentSince Jul 18, 2017 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Upmc Community Medicine Inc Pulmonary Disease Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Organizations & group practices 9

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 1

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1154396109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 LANCASTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181013",
            "telephone_number": "412-334-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W POPLAR ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622846",
            "telephone_number": "095-897-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152181013",
            "country_code": "US",
            "telephone_number": "412-334-7949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLER",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD029256E",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD60720548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001118560",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rstiller782597@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "401 W Poplar St",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993622846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.