Individual provider Active NPI

Geoffrey D Stiller, M.D.

  • Surgery Physician
  • Spokane, WA
National Provider Identifier
1952345514
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00044186 Issued in WA
Practice address
805 W 5TH Ave Ste 619
Spokane, WA 99204-2802
Phone
(509) 747-5773
Fax
(509) 960-4063
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00044186 WA
Specialist 174400000X M8333 ID
Surgery Physician 208600000X M8333 ID
Surgery Physician 208600000X MD00044186 WA Primary

Addresses

Primary practice location

805 W 5TH Ave Ste 619
Spokane, WA 99204-2802

Mailing address

805 W 5TH Ave Ste 619
Spokane, WA 99204-2802
Phone (509) 747-5773

Other identifiers 2

IdentifierTypeStateIssuer
807010600MedicaidID
2128848MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20041013001200 WA Practitioner - General Surgery 5991765042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

805 W 5TH Ave
Suite 619
Spokane, WA 99204-2802
Phone (509) 747-5773

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8333IDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geoffrey Stiller MD PS Surgery CurrentSince Jun 22, 2019 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

805 W 5th Ave
Ste 619
Spokane, WA 99204
Phone (509) 747-5773

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1952345514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W 5TH AVE STE 619",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042802",
            "telephone_number": "509-747-5773",
            "fax_number": "509-960-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W 5TH AVE STE 619",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042802",
            "telephone_number": "509-747-5773",
            "fax_number": "509-960-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLER",
        "first_name": "GEOFFREY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00044186",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M8333",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M8333",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00044186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807010600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128848",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.