Active NPI
Thomas Wheeler Stark, MD
- Otolaryngology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 75440
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5011
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | F2040 | TX | |
| Otolaryngology Physician | 207Y00000X | 75440 | AZ | Primary |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Other practice location 1
18059 Highway 105 W
Suite 115
Montgomery, TX 77356-5000
Phone (281) 576-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MA, AZ, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Texas Medical School at San Antonio, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1631 Hospital Dr
Suite 112
Santa Fe, NM 87505-4728
Phone (505) 913-4780
433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232
445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2040 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc. | Otolaryngology | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| St Vincent Hospital | Otolaryngology | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| Deaconess Clinic Inc | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| St. Vincent Hospital | Family Medicine | Current | Accepting new patients |
| St Vincent Hospital | Current | Accepting new patients |
Locations
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646
4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
510 North St
Ste 10
Pittsfield, MA 01201
Phone (413) 448-8291
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
1631 Hospital Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 424-0200
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
Interoperability endpoints
- drstark@twsmp-tx.direct.office.nextgen.com
- tstark505353@christushealth.direct-ci.net
- tstark276825@direct.valleywisehealth.org
Organizations & group practices 12
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.
-
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Psychiatry Physician
- Mesa, AZ
- NPI 1437482544
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
- Otolaryngology Physician
- Evansville, IN
- NPI 1003211244
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- Otolaryngology Physician
- Santa Fe, NM
- NPI 1598940033
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1205924008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000",
"fax_number": "602-470-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5011"
}
],
"practiceLocations": [
{
"address_1": "18059 Highway 105 W",
"address_2": "Suite 115",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "TX",
"postal_code": "773565000",
"country_code": "US",
"telephone_number": "281-576-1030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARK",
"first_name": "THOMAS",
"middle_name": "WHEELER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "F2040",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "75440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.