Individual provider Active NPI

James R Stille, MD

  • Urology Physician
  • Youngstown, OH
National Provider Identifier
1417964610
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35065923 Issued in OH
Practice address
904 Sahara TRL
Youngstown, OH 44514-3667
Phone
(330) 758-9787
Fax
(330) 758-9792
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35065923 OH Primary

Addresses

Primary practice location

904 Sahara TRL
Youngstown, OH 44514-3667

Mailing address

904 Sahara TRL
Youngstown, OH 44514-3667
Phone (330) 758-9787

Other identifiers 8

IdentifierTypeStateIssuer
1900534OtherOHUNITED HEALTHCARE
340013455OtherGAPALMETTO GBA RAILROAD MED
1900448OtherOHUNITED HEALTHCARE
000000137272OtherOHANTHEM
ST964034OtherPAHIGHMARK
83079OtherOHQUALCHOICE
1900447OtherOHUNITED HEALTHCARE
2009285MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100602000492 OH Practitioner - Urology 1355470204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Ohio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

3915 E Market St
Warren, OH 44484-4710
Phone (330) 758-9787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Urology CurrentSince Mar 1, 2015 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

3915 E Market St
Warren, OH 44484
Phone (330) 392-0100

9375 E Market St
Ste 2B
Warren, OH 44484
Phone (330) 758-9787

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

904 Sahara Trl
Youngstown, OH 44514
Phone (216) 758-9787

6262 Mahoning Ave
Ste B
Youngstown, OH 44515
Phone (330) 758-9787

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

7600 Southern Blvd
Ste 1
Youngstown, OH 44512
Phone (330) 629-8466

250 Debartolo Pl
Ste 3000
Youngstown, OH 44512
Phone (234) 287-6709

Organizations & group practices 2

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 8

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1417964610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SAHARA TRL",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143667",
            "telephone_number": "330-758-9787",
            "fax_number": "330-758-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SAHARA TRL",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143667",
            "telephone_number": "330-758-9787",
            "fax_number": "330-758-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLE",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35065923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1900534",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "340013455",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1900448",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000137272",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "ST964034",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "83079",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1900447",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009285",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.