Active NPI
Tessa Stamile, M.D.
- Emergency Medicine Physician
- Tuba City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME134967
- Practice address
- 167 North Main Street
Tuba City, AZ 86045 - Phone
- (928) 283-2590
- Fax
- (928) 283-2591
- NPI assigned
- Jul 6, 2015
- Last updated
- Jun 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN21989 | FL | |
| Emergency Medicine Physician | 207P00000X | ME134967 | FL | Primary |
Addresses
Primary practice location
167 North Main Street
Tuba City, AZ 86045
Mailing address
1414 Kuhl Ave # MP31
Orlando, FL 32806-2008
Phone (407) 237-6329
Other practice location 1
1414 Kuhl Ave # Mp31
Orlando, FL 32806-2008
Phone (407) 237-6329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.2 of 100
- Quality
- 78.64
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134967 | FL | MD | Emergency Medicine Physician |
| TRN21989 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Family Medicine | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Emergency Medicine | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Central Florida LLP | Emergency Medicine | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Family Medicine | Current | Accepting new patients |
Locations
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
8011 Osceola Polk Line Rd
Davenport, FL 33896
Phone (321) 841-6308
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Organizations & group practices 6
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 Hopi Health Care Center
- Critical Access Hospital
- Polacca, AZ
- NPI 1356628028
Emergency Medicine, TX
-
dba Tuba City Indian Medical Center
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Emergency Medicine, TX
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1326033341
-
dba Dinnebito Health Clinic
- Family Medicine Physician
- Kykotsmovi, AZ
- NPI 1396921870
-
dba Bodaway Gap Clinic
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1851774111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 KUHL AVE # MP31",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062008",
"telephone_number": "407-237-6329",
"fax_number": "407-649-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 NORTH MAIN STREET",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "86045",
"telephone_number": "928-283-2590",
"fax_number": "928-283-2591"
}
],
"practiceLocations": [
{
"address_1": "1414 Kuhl Ave # Mp31",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062008",
"country_code": "US",
"telephone_number": "407-237-6329",
"fax_number": "407-649-3083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAMILE",
"first_name": "TESSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN21989",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME134967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuba City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.