Victor Gordon Stiebel, MD
Individual provider Active NPI Emergency Medicine Physician · Pittsburgh, PA
NPI 1164423364 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1164423364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- Q0574 (TX)
- Practice address
- 6350 Phillips Ave
Pittsburgh, PA 15217-1808 - Phone
- (412) 521-8521
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 38
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bluebonnet Trails Community MHMR Center
Lubbock Regional MHMR Center
Practice addresses (Care Compare)
1009 N Georgetown St
Round Rock, TX 78664-3289
Phone (512) 255-1720
1950 Aspen Ave
Lubbock, TX 79404-1211
Phone (806) 740-1400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in PA, TX, OH, WI, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040123001023 | PA | Practitioner - Psychiatry |
7719889278 | Reassigns benefits to 4 organizations |
| I20140811000605 | TX | Practitioner - Psychiatry | 7719889278 | Reassigns benefits to 13 organizations |
| I20190108001111 | OH | Practitioner - Emergency Medicine | 7719889278 | Reassigns benefits to 1 organization |
| I20250911001348 | WI | Practitioner - Psychiatry | 7719889278 | Reassigns benefits to 5 organizations |
| I20250925000474 | GA | Practitioner - Psychiatry | 7719889278 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD047957L | PA | MD | Emergency Medicine Physician |
| 047958L | PA | MD | Psychiatry Physician |
| Q0574 | TX | MD | Psychiatry Physician |
Practice roles
Locations (25 of 36)
11249 Gold Country Blvd
Ste 130
Gold River, CA 95670
Phone (888) 880-8443
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1400 W Washington St
Marquette, MI 49855
Phone (906) 449-1460
333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100
5831 Forward Ave
Pittsburgh, PA 15217
Phone (412) 326-9059
500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000
201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940
210 S Pinkerton St
Athens, TX 75751
Phone (903) 675-2140
2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203
1738 Elliot Dr
Canton, TX 75103
Phone (903) 597-5067
233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151
706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102
1350 N Buckner Blvd
Ste 100
Dallas, TX 75218
Phone (214) 320-1000
1011 College Ave
Jacksonville, TX 75766
Phone (903) 541-2577
1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320
4444 W Main St
League City, TX 77573
2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672
19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300
1515 Heritage Dr
Ste 105
McKinney, TX 75069
Phone (972) 562-0331
703 W Patten St
Mineola, TX 75773
Phone (903) 569-5409
3320 S Loop 256
Palestine, TX 75801
Phone (903) 721-6136
7308 Alma Dr
Plano, TX 75025
Phone (972) 422-5939
4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300
1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374
Interoperability endpoints
- victor.stiebel.1@3548.direct.athenahealth.com
- vstiebel151139@direct.wvuhsdirect.com
- vstiebel921036@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 047958L | PA | |
| Psychiatry Physician | 2084P0800X | Q0574 | TX | |
| Emergency Medicine Physician | 207P00000X | Q0574 | TX | Yes |
| Emergency Medicine Physician | 207P00000X | MD047957L | PA |
Addresses
Primary practice location
6350 Phillips Ave
Pittsburgh, PA 15217-1808
Mailing address
6502 Nursery Drive
Suite 100
Victoria, TX 77904
Phone (361) 575-0611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100232 | Other | PA | UPMC |
| 0013994070022 | Medicaid | PA | |
| 0001399407027 | Medicaid | PA | |
| 265145 | Other | PA | BLUE SHIELD |
Other providers in Pittsburgh, PA
- William John Stewart
- Brianna Morgan Stich
- Amber Sticha
- Karen J Stickel
- Leanne Stickman
- Carey Stief
- Lori A Stiefel
- Kara Stiely
- Beth Stiff
- Bethany Stiffey
All providers in Pittsburgh, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.