Active NPI
Thomas J Steidler, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Colorado Springs, CO
National Provider Identifier
1679599773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 38690
- Practice address
- 1400 E Boulder St
Colorado Springs, CO 80909-5533 - Phone
- (719) 365-5808
- Fax
- (719) 365-6908
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 38690 | CO | Primary |
Addresses
Primary practice location
1400 E Boulder St
Colorado Springs, CO 80909-5533
Mailing address
1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51683385 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190610000484 | ID | Practitioner - Pathology | 2163427386 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of North Dakota School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone (208) 814-0361
Hospital & facility affiliations
- St Lukes Magic Valley Medical Center
- St Luke'S Wood River Medical Center
- North Canyon Medical Center
- St Luke'S Regional Medical Center
- University of Utah Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.78 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 85.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38690 | CO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Pathology Associates PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Memorial Health System | Past | Accepting new patients |
Locations
801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Twin Falls, ID
- NPI 1124072798
Anatomic Pathology & Clinical Pathology, ID
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1568668754
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202428800000",
"number": "1679599773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-365-5808",
"fax_number": "719-365-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-365-5808",
"fax_number": "719-365-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIDLER",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2008-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CO",
"license": "38690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51683385",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.