NPIMap

Individual provider Active NPI

Daniel Stilwell, D.P.M.

  • Podiatrist
  • Durango, CO
National Provider Identifier
1316200488
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD.0000768 Issued in CO
Practice address
1 Mercado St Ste 202
Durango, CO 81301-7307
Phone
(970) 764-9400
Fax
(970) 764-9449
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD.0000768 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1 Mercado St Ste 202
Durango, CO 81301-7307

Mailing address

1 Mercado St Ste 202
Durango, CO 81301-7307
Phone (970) 764-9400

Other practice location 1

517 S 1100 E
Apartment #2
Salt Lake City, UT 84102-3833
Phone (970) 759-3682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20171219002876 CO Practitioner - Podiatry 1355645995 Reassigns benefits to 1 organization
Practice locations: Durango, CO

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Colorado PCGroup PAC ID 0941199830, 9 clinicians

Practice addresses (Care Compare)

1 Mercado St
Suite 200
Durango, CO 81301-7308
Phone (970) 382-9500

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue148
Removal of nail tissue373
Removal or shaving of skin growth168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
POD.0000768COMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Mar 6, 2018 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 6, 2018 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

1 Mercado St
Ste 202
Durango, CO 81301
Phone (970) 247-5362

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 5

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1316200488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 202",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017307",
            "telephone_number": "970-764-9400",
            "fax_number": "970-764-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 202",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017307",
            "telephone_number": "970-764-9400",
            "fax_number": "970-764-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 S 1100 E",
            "address_2": "Apartment #2",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841023833",
            "country_code": "US",
            "telephone_number": "970-759-3682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILWELL",
        "first_name": "DANIEL",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "POD.0000768",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.