DR. JOSE A ATILES MD
NPI 1871580241
Family Medicine in Mountain Grove, MO

Active since September 30, 2005
1905 W 19TH ST, MOUNTAIN GROVE, MO 65711(417) 926-1770(417) 926-1785 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jan 27, 2017, Jan 5, 2017 (3 updates tracked since 2017).

About Dr. Jose A Atiles Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE A ATILES MD (NPI 1871580241) is an individual family medicine provider in Mountain Grove, Missouri, licensed in Missouri (112620) and active in the NPI registry since September 2005. He maintains a secondary practice location in Mountain Grove.

NPPES Registry Identity

NPI1871580241
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSE A ATILESCredential: MD
Location Address1905 W 19TH STMountain Grove, MO 65711-1287
Mailing Address2300 Hammond Mill LnWest Plains, MO 65775-6548 · (417) 256-2511 · Fax (417) 926-1785
Fax(417) 926-1785
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateApril 4, 20183 updates tracked since enumeration
NPI 1871580241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 112620
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1905 W 19TH ST, Mountain Grove, MO 65711

Secondary Practice Location 1

Location 1500 E 19th StMountain Grove, MO 65711-1114 · Phone (417) 926-6563 · Fax (417) 926-5820

Other Identifiers 2

Medicaid209187707MO
Other26D2006074MO · Clia

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1905 W 19TH ST
MOUNTAIN GROVE, MO 65711
Family Medicine
1905 W 19TH ST
MOUNTAIN GROVE, MO 65711
Physician Assistant
1905 W 19TH ST
MOUNTAIN GROVE, MO 65711
Family Medicine
1905 W 19TH ST
MOUNTAIN GROVE, MO 65711
Family Medicine
1905 W 19TH ST
MOUNTAIN GROVE, MO 65711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Atiles's NPI number?

The NPI number for Jose Atiles is 1871580241. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Jose Atiles located?

Jose Atiles practices at 1905 W 19th St, Mountain Grove, MO 65711. The listed phone number is (417) 926-1770.

What is Jose Atiles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jose Atiles was last updated on April 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.