NPIMap

Individual provider Active NPI

Aaron Michael Stutz, M.D.

  • Emergency Medicine Physician
  • Mount Shasta, CA
National Provider Identifier
1174851901
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A125895 Issued in CA
Practice address
101 Siskiyou Ave
Mount Shasta, CA 96067-2500
Phone
(530) 240-4855
NPI assigned
Dec 7, 2009
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Emergency Medicine Physician 207P00000X A125895 CA Primary

Addresses

Primary practice location

101 Siskiyou Ave
Mount Shasta, CA 96067-2500

Mailing address

PO Box 66
Mount Shasta, CA 96067-0066
Phone (530) 240-4855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150305001067 CA Practitioner - Emergency Medicine 7911223185 Reassigns benefits to 5 organizations
I20240619001188 OR Practitioner - Emergency Medicine 7911223185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Southern California Keck School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Emergency PhysiciansGroup PAC ID 4284171166, 47 clinicians

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125895CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Coos Health District CurrentSince May 1, 2024 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jan 14, 2015 Accepting new patients
Mount Eddy Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Southern Coos Health District CurrentSince May 1, 2024 Accepting new patients
Trinity Emergency Physicians Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mossbrae Medical Group P.C. Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients

Locations

101 Siskiyou Ave
Mount Shasta, CA 96067
Phone (530) 240-4855

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

900 11th St SE
Bandon, OR 97411
Phone (541) 237-2426

Organizations & group practices 7

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

Hospital & facility affiliations 7

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": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1174851901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960670066",
            "telephone_number": "530-240-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SISKIYOU AVE",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672500",
            "telephone_number": "530-240-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZ",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A125895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Shasta, CA

Sources for this page

Verify at the official NPI Registry.