NPIMap

Individual provider Active NPI

Steven M Tilles, MD

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1841292745
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G40389 Issued in CA
Practice address
2505 Samaritan Dr
Suite 405
San Jose, CA 95124-4013
Phone
(408) 356-8133
Fax
(408) 356-6923
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G40389 CA Primary

Addresses

Primary practice location

2505 Samaritan Dr
Suite 405
San Jose, CA 95124-4013

Mailing address

2505 Samaritan Dr
Suite 405
San Jose, CA 95124-4013
Phone (408) 356-8133

Other identifiers 1

IdentifierTypeStateIssuer
00G403890MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000179 CA Practitioner - Internal MedicinePractitioner - Nephrology 6800971730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of California, Geffen School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2504 Samaritan Dr
Suite 10
San Jose, CA 95124-4003
Phone (408) 356-8133

2505 Samaritan Dr
Suite 405
San Jose, CA 95124-4044

Hospital & facility affiliations

  • Fresenius Medical Care Los Gatos Dialysis facility, Los Gatos, CA, CCN 052694
  • SHC Blossom Valley Dialysis facility, San Jose, CA, CCN 552827
  • Sequoia Home Health Home health agency, Milpitas, CA, CCN 058496
  • Ascension Healthcare Services Home health agency, Campbell, CA, CCN 059765
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score
72.36 of 100Reported as individual
Quality
37.4
Improvement activities
40
Cost
74.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G40389CAMDNephrology Physician

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Steven M. Tilles, M.D., Inc. Nephrology CurrentSince Jul 1, 1983 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients

Locations

2505 Samaritan Dr
Ste 405
San Jose, CA 95124
Phone (408) 356-8133

2504 Samaritan Dr
Ste 10
San Jose, CA 95124
Phone (408) 216-8763

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1841292745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 405",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244013",
            "telephone_number": "408-356-8133",
            "fax_number": "408-356-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 405",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244013",
            "telephone_number": "408-356-8133",
            "fax_number": "408-356-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLES",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G40389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G403890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.