Gabriele Stiller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

97-380 Issued in NM

Practice address

5472 W Pine Lodge Rd
Roswell, NM 88201-8614

Phone

(575) 627-7463

Fax

(505) 407-1783

NPI assigned

Sep 7, 2006

Last updated

Apr 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

General Practice

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cura Healthcare

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1649984667
  Medicare reassignment NPD
• Hospital Care Consultants Region II Inc

  • Internal Medicine Physician
  • West Memphis, AR
  • NPI 1558491449

  NM

  Medicare reassignment NPD
• Siavash Karimian MD of New Mexico PC Dba Roswell Medico

  dba Roswell MediCo

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1053546796
  NPD
• Pearson Heart Clinic, LLC

  • Cardiovascular Disease Physician
  • Roswell, NM
  • NPI 1104241173
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1790889137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 W PINE LODGE RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018614",
            "telephone_number": "575-627-7463",
            "fax_number": "505-407-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 W PINE LODGE RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018614",
            "telephone_number": "575-627-7463",
            "fax_number": "505-407-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLER",
        "first_name": "GABRIELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "97-380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B8576",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sterling Assisted Living Homes
• Steven Michael Cobb PHD LLC
• Kori Dawn Stewart, LPN
• Sally D Stewart, LMSW
• Luke Stiggins
• Haley Michelle Stotts
• Reba Stroble
• Misty Renee Sturtevant, , LCSW
• Ramya Subgani, DDS
• Adalberto Subia-Juarez

• Family Medicine Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.

Verify at the official NPI Registry.