Individual provider Active NPI

David Alan Stoller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tulsa, OK
National Provider Identifier
1952364531
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
270 Issued in OK
Practice address
6585 S Yale Ave
Suite 1110
Tulsa, OK 74136-8384
Phone
(918) 502-5300
Fax
(918) 502-5301
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E 4700 CA
Foot & Ankle Surgery Podiatrist 213ES0103X 270 OK Primary

Addresses

Primary practice location

6585 S Yale Ave
Suite 1110
Tulsa, OK 74136-8384

Mailing address

6585 S Yale Ave
Suite 1110
Tulsa, OK 74136-8384
Phone (918) 502-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150109000805 OK Practitioner - Podiatry 0941198873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6585 S Yale Ave
Suite 1110
Tulsa, OK 74136-8324
Phone (918) 502-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions1-10
Removal of nail tissue739
Removal or shaving of skin growth653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Footcare Center PC Foot & Ankle Surgery CurrentSince Jun 24, 2014 Accepting new patients
Emergency Footcare, PC PastSince Apr 17, 2002 Accepting new patients
Pain Care Associates of Oklahoma Past Accepting new patients

Locations

27800 Medical Center Rd
Ste 110
Mission Viejo, CA 92691
Phone (949) 364-9255

6585 S Yale Ave
Ste 1110
Tulsa, OK 74136
Phone (918) 502-5300

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 2

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1952364531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 1110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-502-5300",
            "fax_number": "918-502-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 1110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-502-5300",
            "fax_number": "918-502-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E 4700",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.