Individual provider Active NPI

Mateja De Leonni Stanonik, MD, PHD

  • Neurology Physician
  • Tucson, AZ
National Provider Identifier
1730344102
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
47675 Issued in AZ
Practice address
2850 E Skyline Dr Ste 130
Tucson, AZ 85718-8013
Phone
(520) 638-5757
Fax
(520) 447-5701
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 47675 AZ Primary

Addresses

Primary practice location

2850 E Skyline Dr Ste 130
Tucson, AZ 85718-8013

Mailing address

2850 E Skyline Dr Ste 130
Tucson, AZ 85718-8013
Phone (520) 638-5757

Other identifiers 1

IdentifierTypeStateIssuer
878694MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140225002339 AZ Practitioner - Neurology 5395903587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2850 E Skyline Dr
Suite 130
Tucson, AZ 85718-8013

3530 E Campo Abierto
Tucson, AZ 85718-3328
Phone (520) 638-5757

Hospital & facility affiliations

  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
79.95 of 100Reported as individual
Quality
64.7
Promoting interoperability
95
Improvement activities
40
Cost
72.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47675AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Apr 1, 2014 Accepting new patients
A&M Medical Ventures, Inc CurrentSince Nov 4, 2014 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Apr 1, 2014 Accepting new patients
Independence Neurosurgery Services LLC Past Accepting new patients
Neurology Consultants of Nebraska PC Neurology Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

2055 W Hospital Dr
Ste 205
Tucson, AZ 85704
Phone (520) 575-6944

3530 E Campo Abierto
Ste 200
Tucson, AZ 85718

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

6130 N La Cholla Blvd
Ste 200
Tucson, AZ 85741
Phone (520) 219-8342

2850 E Skyline Dr
Ste 130
Tucson, AZ 85718
Phone (520) 638-5757

3530 E Campo Abierto
Tucson, AZ 85718
Phone (520) 638-5757

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBJCA/Endpoint/FIBJCA
  • Direct secure messaging: mateja.deleonnistanonik@vmi.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730344102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 E SKYLINE DR STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188013",
            "telephone_number": "520-638-5757",
            "fax_number": "520-447-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 E SKYLINE DR STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188013",
            "telephone_number": "520-638-5757",
            "fax_number": "520-447-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEONNI STANONIK",
        "first_name": "MATEJA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "47675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "878694",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.