Individual provider Active NPI

Stamatia Fissas Gockel, DO

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1154487726
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7385 Issued in AZ
Practice address
11611 S Foothills Blvd Ste C
Yuma, AZ 85367-5845
Phone
(928) 342-1814
Fax
(928) 342-6154
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3285 AZ
Family Medicine Physician 207Q00000X 34005447G OH
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 7385 AZ Primary

Addresses

Primary practice location

11611 S Foothills Blvd Ste C
Yuma, AZ 85367-5845

Mailing address

PO Box 669
Yuma, AZ 85366-2329
Phone (928) 247-6516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 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
I20051129000873 AZ Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Other (Physician) 8628098134 Practice locations: Yuma, AZ
I20220816002337 AZ Practitioner - General Practice 8628098134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
College of Osteo Med of the Pacific at Pomona, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bio Family Clinic IncGroup PAC ID 2769668136, 37 clinicians

Practice addresses (Care Compare)

11518 N Frontage Rd
Yuma, AZ 85367-8994
Phone (928) 342-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.96 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
83.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7385AZMDFamily Medicine Physician
34005447GOHMDFamily Medicine Physician
3285AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Family Clinic Inc Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Foothills Blvd Clinic LLC Family Medicine PastSince Jun 25, 2023 Accepting new patients

Locations

11518 N Frontage Rd
Yuma, AZ 85367
Phone (928) 342-6500

11468 N Frontage Rd
Ste A
Yuma, AZ 85367
Phone (928) 342-6500

11611 S Foothills Blvd
Yuma, AZ 85367

11611 S Foothills Blvd
Ste G
Yuma, AZ 85367
Phone (520) 476-3503

11468 N Frontage Rd
Yuma, AZ 85367
Phone (928) 342-6500

11611 S Foothills Blvd
Ste C
Yuma, AZ 85367
Phone (928) 247-9616

Organizations & group practices 2

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 4

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1154487726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662329",
            "telephone_number": "928-247-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 S FOOTHILLS BLVD STE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853675845",
            "telephone_number": "928-342-1814",
            "fax_number": "928-342-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCKEL",
        "first_name": "STAMATIA",
        "middle_name": "FISSAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3285",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005447G",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.