Active NPI
Mateja De Leonni Stanonik, MD, PHD
- Neurology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 47675
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 878694 | Medicaid | AZ |
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
Enrollment records 1
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
- Tucson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.95 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 47675 | AZ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Allied Physicians, LLC | Current | Accepting new patients | |
| A&M Medical Ventures, Inc | Current | Accepting new patients | |
| Northwest Allied Physicians LLC | Current | 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
- https://fhir4.healow.com/fhir/r4/FIBJCA/Endpoint/FIBJCA
- 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.
-
- Clinic/Center
- Tucson, AZ
- NPI 1912303538
-
- General Practice Physician
- Tucson, AZ
- NPI 1003833179
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
-
- Neurological Surgery Physician
- Independence, MO
- NPI 1316993694
-
- Neurology Physician
- Omaha, NE
- NPI 1811941073
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1538535158
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.