NPIMap

Individual provider Active NPI

Tirso J Aldana, M.D.

  • Internal Medicine Physician
  • Poplar Bluff, MO
National Provider Identifier
1356305684
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
118197 Issued in MO
Practice address
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone
(573) 776-9290
Fax
(573) 776-2379
NPI assigned
Apr 13, 2006
Last updated
Sep 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 118197 MO Primary

Addresses

Primary practice location

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573

Mailing address

PO Box 4028
Poplar Bluff, MO 63902-4028
Phone (573) 718-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050719000247 MO Practitioner - Internal MedicinePractitioner - Emergency Medicine 9931136215 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potosi Emergency Group, LLCGroup PAC ID 0648588541, 19 clinicians

Practice addresses (Care Compare)

300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451

611 W Main St
Fredericktown, MO 63645-1111
Phone (573) 783-3341

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
53.06
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iron County Hospital District CurrentSince Sep 12, 2024 Accepting new patients
Madison Medical Center Stockhoff Memorial Nursing Home CurrentSince Sep 9, 2025 Accepting new patients
Community Urgent Care LLC CurrentSince Apr 14, 2024 Accepting new patients
Sikeston Emergency Group LLC CurrentSince Feb 25, 2019 Accepting new patients
Iron County Hospital District CurrentSince Sep 12, 2024 Accepting new patients
Madison Medical Center Stockhoff Memorial Nursing Home CurrentSince Sep 9, 2025 Accepting new patients
Potosi Emergency Group, LLC CurrentSince Feb 22, 2023 Accepting new patients
St Louis Medical Associates LLC CurrentSince Dec 1, 2023 Accepting new patients
Butler Physician Services, LLC Internal Medicine CurrentSince Sep 7, 2016 Accepting new patients
TH Contracting Services of Missouri Past Accepting new patients
Washington County Memorial Hospital Past Accepting new patients
Kennett Emergency Physicians Past Accepting new patients
Missouri Em-I Medical Services, PC Past Accepting new patients
Shepherd Mountain Emergency Physicians Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

2651 Shelby Rd
Poplar Bluff, MO 63901
Phone (573) 843-8380

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tirso.aldana.1@16878.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1356305684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4028",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639024028",
            "telephone_number": "573-718-3141",
            "fax_number": "573-776-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK GROVE RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011573",
            "telephone_number": "573-776-9290",
            "fax_number": "573-776-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDANA",
        "first_name": "TIRSO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "118197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.