Individual provider Active NPI

Robert John Stachler, MD

  • Otolaryngology Physician
  • West Bloomfield, MI
National Provider Identifier
1134169014
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301060787 Issued in MI
Practice address
33200 W 14 Mile Rd Ste 240
West Bloomfield, MI 48322-3586
Phone
(248) 325-9653
Fax
(248) 862-6451
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 4301060787 MI
Otolaryngology Physician 207Y00000X 4301060787 MI Primary

Addresses

Primary practice location

33200 W 14 Mile Rd Ste 240
West Bloomfield, MI 48322-3586

Mailing address

33200 W 14 Mile Rd Ste 240
West Bloomfield, MI 48322-3586
Phone (248) 325-9653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20051230000440 MI Practitioner - OtolaryngologyPractitioner - Orthopedic SurgeryPractitioner - General Surgery 8628970332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

33200 W 14 Mile Rd
Suite 240
West Bloomfield, MI 48322-3586
Phone (248) 325-9653

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301060787MIMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Stachler MD PC Otolaryngology CurrentSince Jan 1, 2018 Accepting new patients
Harper Hutzel Hospital Past Accepting new patients
University Physician Group Otolaryngology Past Accepting new patients

Locations

33200 W 14 Mile Rd
Ste 240
West Bloomfield, MI 48322
Phone (248) 325-9653

Interoperability endpoints

  • Direct secure messaging: rstachle@direct.dmc.org

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 and National Provider Directory roles.

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1134169014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD STE 240",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223586",
            "telephone_number": "248-325-9653",
            "fax_number": "248-862-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD STE 240",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223586",
            "telephone_number": "248-325-9653",
            "fax_number": "248-862-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHLER",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "MI",
            "license": "4301060787",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301060787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.