Nicole E Stovall, M.D.

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

D64202 Issued in MD

Practice address

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Phone

(602) 344-1516

Fax

(602) 344-1004

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Diagnostic Radiology

Education

Howard University College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.25 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arizona Diagnostic Radiology Group, LLC

  • Diagnostic Radiology Physician
  • Gilbert, AZ
  • NPI 1336757699
  Medicare reassignment Care Compare group NPD
• Cigna Health Care of Arizona Inc

  dba EVERNORTH Care Group Stapley Urgent Care

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1467564302
  NPD
• Cigna Health Care of Arizona Inc.

  dba CMG Westridge Healthcare Center, Westridge

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1144391574
  NPD
• Cigna Health Care of Arizona Inc.

  dba CMG Clyde Wright Urgent Care, CMG Clyde Wright AHC, Phoenix Central UC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1245338235
  NPD
• Cigna Health Care of Arizona Inc.

  dba EVERNORTH Care Group Paradise Valley Multi-Specialty Center

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1619048048
  NPD
• Cigna Health Care of Arizona Inc.

  dba EVERNORTH Care Group CJ Harris Multi-Specialty Center

  • Multi-Specialty Clinic/Center
  • Tempe, AZ
  • NPI 1649341298
  NPD
• Cigna Health Care of Arizona Inc.

  dba Clyde Wright Center, CMG Phx Central MultiSpec Cntr

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1942371679
  NPD
• Cigna Healthcare of Arizona, Inc.

  dba EVERNORTH Care Group

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1073626404
  NPD
• Cigna Healthcare of Arizona, Inc.

  dba Arrowhead Ranch Medical Office; Arrowhead Ranch

  • Multi-Specialty Clinic/Center
  • Peoria, AZ
  • NPI 1730417676
  NPD
• Simonmed Imaging, Incorporated

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1164460077
  NPD (past)
• Smi Imaging, LLC

  • Diagnostic Radiology Physician
  • Wickenburg, AZ
  • NPI 1235469057
  NPD (past)
• Shipley's Imaging, LLC

  • Diagnostic Radiology Physician
  • Millersville, MD
  • NPI 1861476343
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336174903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 E ELWOOD ST",
            "address_2": "STE. 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347259",
            "telephone_number": "602-470-5000",
            "fax_number": "602-328-2115"
        },
        {
            "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": "602-344-1516",
            "fax_number": "602-344-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "NICOLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MD",
            "license": "D64202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS #",
            "identifier": "M60592",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine A Stoskopf, MD
• Morgan Greene Stottlemyre, M.D.
• Summer Stout-Bloyer
• Isabelle Hannah Stout, CCC-SLP
• Lucas Jay Stout, DO
• Stephanie Lee Stovall, MD
• Danielle Kuulei Potter Stovaw, M.D.
• Amanda Lynn Stover
• Ian Stover, PT, DPT
• Lauren Stover

• Body Imaging Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Body Imaging Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.