Active NPI
Thomas Vincent Distefano, M.D.
- Orthopaedic Surgery Physician
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 75667
- Practice address
- 2460 S Parkview Loop Ste 3
Yuma, AZ 85364-5357 - Phone
- (928) 336-7846
- Fax
- (928) 336-7256
- NPI assigned
- May 31, 2005
- Last updated
- Apr 14, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 119582 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | 51607 | SC | |
| Orthopaedic Surgery Physician | 207X00000X | 75667 | AZ | Primary |
Addresses
Primary practice location
2460 S Parkview Loop Ste 3
Yuma, AZ 85364-5357
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Other practice location 1
710 Chesterfield Hwy
Cheraw, SC 29520-7001
Phone (843) 573-0010
Other practice location 2
11351 S Frontage Rd
Yuma, AZ 85367-7862
Phone (928) 336-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516070 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thomas.distefano@mpaii.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Tulane University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11351 S Frontage Rd
Yuma, AZ 85367-7862
Phone (928) 336-4000
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 24 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Yuma Regional Medical Center | Orthopaedic Surgery | Current | Accepting new patients |
| McLeod Physician Associates II | Orthopaedic Surgery | Current | Accepting new patients |
| McLeod Physician Associates II | Orthopaedic Surgery | Current | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
2460 S Parkview Loop
Ste 3
Yuma, AZ 85364
Phone (928) 336-5483
710 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-0001
506 E Cheves St
#202
Florence, SC 29506
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Orthopaedic Surgery
-
dba Onvida Health Yuma Medical Center
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
Orthopaedic Surgery
-
dba McLeod Orthopaedics - Florence
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Yuma, AZ
- NPI 1043846801
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1598768830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "928-344-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 S PARKVIEW LOOP STE 3",
"city": "YUMA",
"state": "AZ",
"postal_code": "853645357",
"telephone_number": "928-336-7846",
"fax_number": "928-336-7256"
}
],
"practiceLocations": [
{
"address_1": "710 Chesterfield Hwy",
"address_purpose": "LOCATION",
"city": "Cheraw",
"state": "SC",
"postal_code": "295207001",
"country_code": "US",
"telephone_number": "843-573-0010",
"fax_number": "843-537-0009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11351 S Frontage Rd",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853677862",
"country_code": "US",
"telephone_number": "928-336-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DISTEFANO",
"first_name": "THOMAS",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "119582",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "51607",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "75667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "516070",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thomas.distefano@mpaii.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "ECW DA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "710 Chesterfield Hwy",
"city": "Cheraw",
"state": "SC",
"country_code": "US",
"postal_code": "295207001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.