Individual provider Active NPI

David George Stilley, MD

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1801868526
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019030505 Issued in MO
Practice address
321 E 12TH St RM 175
Des Moines, IA 50319-0075
Phone
(515) 281-5604
NPI assigned
Feb 6, 2006
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2019030505 MO
Emergency Medicine Physician 207P00000X 22603 IA
Family Medicine Physician 207Q00000X 22603 IA
Family Medicine Physician 207Q00000X 2019030505 MO Primary

Addresses

Primary practice location

321 E 12TH St RM 175
Des Moines, IA 50319-0075

Mailing address

640 S 50TH St Unit 1100
West Des Moines, IA 50265-6993
Phone (515) 270-1000

Other practice location 1

3770 8th St SW
Altoona, IA 50009-1048
Phone (515) 270-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 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
I20050330001194 IA Practitioner - Emergency MedicinePractitioner - Family Practice 0840199485 Reassigns benefits to 1 organization
I20191204002326 MO Practitioner - Family Practice 0840199485 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22603IAMDEmergency Medicine Physician
2019030505MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland County Memorial Hospital Current Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients
Dallas County Hospital Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Curators of the University of Missouri PastSince Apr 1, 2020 Accepting new patients
Doctorsnow Doral LLC Past Accepting new patients

Locations

450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1801868526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S 50TH ST UNIT 1100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656993",
            "telephone_number": "515-270-1000",
            "fax_number": "515-225-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E 12TH ST RM 175",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503190075",
            "telephone_number": "515-281-5604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3770 8th St SW",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "IA",
            "postal_code": "500091048",
            "country_code": "US",
            "telephone_number": "515-270-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLEY",
        "first_name": "DAVID",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2019030505",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "22603",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "22603",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019030505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.