Ralph W Stafford Jr., MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

36772 Issued in TN

Practice address

251 N Lyerly St
Ste 100
Chattanooga, TN 37404-2739

Phone

(423) 826-8000

Fax

(423) 702-7915

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yium, Shenouda and Miller PtrshpGroup PAC ID 3274510037, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dci Lyerly Dialysis facility, Chattanooga, TN, CCN 442596
• Dci Chattanooga 3Rd St Dialysis facility, Chattanooga, TN, CCN 442505
• Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
• Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185
• Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
• Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

Merit-based Incentive Payment System (MIPS)

Final score

94.73 of 100Reported as group

Quality

81.32

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Yium, Shenouda & Miller Ptrshp

  • Specialist
  • Chattanooga, TN
  • NPI 1972548089

  GA

  Medicare reassignment Care Compare group NPD
• C. Ferrell Varner MD, Inc.

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1346242385
  NPD (past)
• Chattanooga Rehabilitation Associates, PC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1891741971
  NPD (past)
• Chattanooga Spine & Rehabilitation PLLC

  dba Siskin Physical Medicine & Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1982859187
  NPD (past)
• Ut Physicians Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1770575490
  NPD (past)

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

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chattanooga, TN
  • NPI 1235162611

  Dialysis facility

  Care Compare affiliation Name & address match
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chattanooga, TN
  • NPI 1770511321

  Dialysis facility

  Care Compare affiliation Name & address match
• Bradley Medical Center, LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1255171096
  Care Compare affiliation
• Erlanger Health

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1861194086
  Care Compare affiliation
• Memorial Health Care System Inc.

  dba Memorial Hospital Hixson

  • General Acute Care Hospital
  • Hixson, TN
  • NPI 1083778633
  Care Compare affiliation
• Memorial Health Care System Inc.

  dba Memorial Hospital

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  Care Compare affiliation
• Parkridge Medical Center, Inc.

  dba Parkridge Medical Center

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1104874684
  Care Compare affiliation

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1972596013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 3RD ST STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042700",
            "telephone_number": "423-702-7900",
            "fax_number": "423-702-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST",
            "address_2": "STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042739",
            "telephone_number": "423-826-8000",
            "fax_number": "423-702-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "RALPH",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "36772",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "058510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3878187",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staccato LLC (ComForCare Homecare of Chattanooga)
• Daniel Stacy
• Bianca Shaunice Stafford
• Brittany Alesa Stafford, CCMA
• Kaelee Stafford, MD
• Markeisha Shana Stallion
• Pauline G Stamper, M.ED
• Jacqueline A Stamps, M.A.
• Carrie Marie Stanage, OTR/L
• Cynthia Ann Stanaway, PTA

• Nephrology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.

Verify at the official NPI Registry.