Jeffrey D Stahl, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

21464 Issued in IA

Practice address

1300 37TH St
Ste 5
West Des Moines, IA 50266-1900

Phone

(515) 225-4051

Fax

(515) 225-2265

NPI assigned

Aug 26, 2005

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Central Iowa Hospital Corporation

  • Pharmacy
  • Des Moines, IA
  • NPI 1003352949
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1013900844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 37TH ST",
            "address_2": "STE 5",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661900",
            "telephone_number": "515-225-4051",
            "fax_number": "515-225-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 37TH ST",
            "address_2": "STE 5",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661900",
            "telephone_number": "515-225-4051",
            "fax_number": "515-225-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "21464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110076158",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13451",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2157859",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stadia Sports Medicine PC
• Alexandria Nicole Stafford
• Paula Elizabeth Stageman, ARNP
• Stagner Counseling
• Molly McMahon Stagner, LISW
• Meredith Hubbell Stahl, LMHC
• Kimberly Sue Stalker
• Stacey Pappas Stallman, LISW
• Christopher F Stalvey, DO
• Shelby Standard, LISW

• Gastroenterology Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Gastroenterology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.