Chandra Stockdall, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

55722 Issued in AZ

Practice address

2800 E Ajo Way
Tucson, AZ 85713-6204

Phone

(520) 874-2995

NPI assigned

May 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, AL, MS3 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 3

Specialty

Internal Medicine

Education

University of Missouri, Kansas City, School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Hattiesburg HB Medical Services LLCGroup PAC ID 6507220167, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148
• Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094
• Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chandra.stockdall.p4@direct.caremorewest.nextgenshare.com

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.

• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Hattiesburg HB Medical Services LLC

  • Emergency Medicine Physician
  • Hattiesburg, MS
  • NPI 1699456376
  Medicare reassignment Care Compare group
• Crestwood HB Medical Services LLC

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1548940497

  Single Specialty

  Medicare reassignment NPD
• App of Southern Arizona HM LLC

  • Hospitalist Physician
  • Brentwood, TN
  • NPI 1518542679

  Single Specialty

  NPD

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

• Northwest Hospital LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  Care Compare affiliation
• Northwest Sahuarita Hospital LLC

  • General Acute Care Hospital
  • Sahuarita, AZ
  • NPI 1851927669
  Care Compare affiliation
• Oro Valley Hospital LLC

  • General Acute Care Hospital
  • Oro Valley, AZ
  • NPI 1386697688
  Care Compare affiliation
• Wesley Health System LLC

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1841241841
  Care Compare affiliation

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1982082392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-622-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136204",
            "telephone_number": "520-874-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKDALL",
        "first_name": "CHANDRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "55722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA TRAINING PERMIT NUMBER",
            "identifier": "R75748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lauren Stipek
• Faissal Stipho
• Garrin Stock
• Sandra Marie Stock, OTRL
• Jonni Stockdale, NP
• Marissa Stockham
• Carly Renae Stockman, PA
• Douglas Stockton, MD
• Gayle Ann Stockwell, DC
• Christopher Shaun Stoffel, PHARMD, PHD

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.