Individual provider Active NPI

Thomas Vincent Distefano, M.D.

  • Orthopaedic Surgery Physician
  • Yuma, AZ
National Provider Identifier
1598768830
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
75667 Issued in AZ
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
516070MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.distefano@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171204000788 SC Practitioner - Orthopedic Surgery 1355363821 Reassigns benefits to 1 organization
I20250428002747 AZ Practitioner - Orthopedic Surgery 1355363821 Reassigns benefits to 1 organization

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
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

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

ProcedureNumber of procedures
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Yuma Regional Medical Center Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
McLeod Physician Associates II Orthopaedic Surgery CurrentSince Nov 1, 2017 Accepting new patients
McLeod Physician Associates II Orthopaedic Surgery CurrentSince Nov 1, 2017 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.

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": "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

Verify at the official NPI Registry.