Stephen J Neustat, M.D.

Individual provider Active NPI Internal Medicine Physician · Frankfort, KY

NPI 1194766600 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1194766600
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
35902 (KY)
Practice address
108 Diagnostic Dr
Frankfort, KY 40601-6556
Phone
(502) 227-5171
Fax
(502) 227-0131
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150810000881 AZ Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
0648227983

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35902KYMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35902 KY Yes

Addresses

Primary practice location

108 Diagnostic Dr
Frankfort, KY 40601-6556

Mailing address

PO Box 37228
Tucson, AZ 85740-7228
Phone (859) 393-1814

Other identifiers

IdentifierTypeStateIssuer
00000018169OtherKYBLUE CROSS & BLUE SHIELD
64010796MedicaidKY

Other names

  • Dr. Stephen J Neustat Other name

Other providers in Frankfort, KY

All providers in Frankfort, KY · Internal Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.