Individual provider Active NPI

David B. Stoll

  • Hematology & Oncology Physician
  • Woonsocket, RI
National Provider Identifier
1114927431
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
6416 Issued in RI
Practice address
55 Hamlet Ave
Woonsocket, RI 02895-4432
Phone
(401) 766-9500
Fax
(401) 766-7464
NPI assigned
Jul 28, 2005
Last updated
Jun 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 6416 RI Primary

Addresses

Primary practice location

55 Hamlet Ave
Woonsocket, RI 02895-4432

Mailing address

55 Hamlet Ave
Woonsocket, RI 02895-4432
Phone (401) 766-9500

Other identifiers 7

IdentifierTypeStateIssuer
9000444MedicaidRI
0478325OtherAETNA
93566221OtherCIGNA
22430OtherBLUE CROSS OF RI
725043OtherTUFTS HEALTH PLAN
002191OtherBLUE CHIP
1082OtherNEIGHBORHOOD HEALTH PLAN OF RI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000582 RI Practitioner - Internal MedicinePractitioner - Hematology/Oncology 8325944895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
University of Toledo College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Services Landmark LLCGroup PAC ID 3274761069, shared by 5 NPIs, 48 clinicians

Practice addresses (Care Compare)

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

20 Cumberland Hill Rd
Unit 102
Woonsocket, RI 02895-4854
Phone (401) 769-4100

55 Hamlet Ave
Woonsocket, RI 02895-4432
Phone (401) 766-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6416RIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Mar 1, 2022 Accepting new patients
Prime Healthcare Services Landmark LLC Hematology & Oncology CurrentSince Mar 1, 2022 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Mar 1, 2022 Accepting new patients
David B. Stoll,MD, LTD Hematology & Oncology CurrentSince Apr 1, 2001 Accepting new patients

Locations

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

176 Cass Ave
Woonsocket, RI 02895
Phone (401) 568-9980

196 Cass Ave
Woonsocket, RI 02895
Phone (401) 766-5959

20 Cumberland Hill Rd
Unit 102
Woonsocket, RI 02895

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

55 Hamlet Ave
Woonsocket, RI 02895
Phone (401) 766-9500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1114927431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HAMLET AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954432",
            "telephone_number": "401-766-9500",
            "fax_number": "401-766-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HAMLET AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954432",
            "telephone_number": "401-766-9500",
            "fax_number": "401-766-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "DAVID",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "6416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000444",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0478325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "93566221",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF RI",
            "identifier": "22430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "725043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "002191",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN OF RI",
            "identifier": "1082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.