Active NPI
David George Stilley, MD
- Family Medicine Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019030505
- 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, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22603 | IA | MD | Emergency Medicine Physician |
| 2019030505 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
dba Scotland County Hospital
- Critical Access Hospital
- Memphis, MO
- NPI 1083624647
-
- Family Medicine Physician
- Altoona, IA
- NPI 1649394503
-
- Critical Access Hospital
- Perry, IA
- NPI 1669477089
-
- General Practice Physician
- Johnston, IA
- NPI 1932346079
-
- Emergency Care Clinic/Center
- Centerville, IA
- NPI 1528018801
-
dba Mizzou Pharmacy - Southwest Blvd
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1740083641
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.