Individual provider Active NPI

Todd Edward Stiles, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Paducah, KY
National Provider Identifier
1861547309
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
31938 Issued in KY
Practice address
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone
(270) 575-2244
Fax
(270) 415-7130
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 31938 KY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 31938 KY Primary

Addresses

Primary practice location

2501 Kentucky Ave
Paducah, KY 42003-3813

Mailing address

PO Box 8317
Paducah, KY 42002-8317
Phone (270) 575-2244

Other practice location 1

440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8370

Other identifiers 1

IdentifierTypeStateIssuer
64319387MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20060209000021 KY Practitioner - Pathology 1557376753 Reassigns benefits to 1 organization
Practice locations: Central City, KY

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Tennessee, HSC, College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of Paducah, PSCGroup PAC ID 5294636015, 5 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2244

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Livingston Hospital and Healthcare Services, Inc Hospital, Salem, KY, CCN 181320
  • Massac Memorial Hospital Hospital, Metropolis, IL, CCN 141323
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Marshall County Hospital Hospital, Benton, KY, CCN 181327

Merit-based Incentive Payment System (MIPS)

Final score
83.87 of 100Reported as group
Quality
67.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31938KYMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Paducah, PSC Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2021 Accepting new patients
Muhlenberg Community Hospital Inc PastSince Jan 1, 2014 Accepting new patients
Plastic Surgery Center, Inc Past Accepting new patients

Locations

1900 N Main St
Madisonville, KY 42431
Phone (270) 245-2105

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

Organizations & group practices 3

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1861547309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8317",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420028317",
            "telephone_number": "270-575-2244",
            "fax_number": "270-415-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033813",
            "telephone_number": "270-575-2244",
            "fax_number": "270-415-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Hopkinsville St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "KY",
            "postal_code": "423451124",
            "country_code": "US",
            "telephone_number": "270-338-8370",
            "fax_number": "270-338-5346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES",
        "first_name": "TODD",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "KY",
            "license": "31938",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "31938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64319387",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.