Individual provider Active NPI

Jason E Stahl, MD

  • Ophthalmology Physician
  • Overland Park, KS
National Provider Identifier
1205830627
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-28638 Issued in KS
Practice address
8300 College Blvd Ste 201
Overland Park, KS 66210-2812
Phone
(913) 491-3330
Fax
(913) 491-9650
NPI assigned
Jun 13, 2005
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04-28638 KS Primary

Addresses

Primary practice location

8300 College Blvd Ste 201
Overland Park, KS 66210-2812

Mailing address

8300 College Blvd.
Suite 201
Overland Park, KS 66210
Phone (913) 491-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050411000685 KS Practitioner - Ophthalmology 8527005628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Sanford School of Medicine of University of South Dakota, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durrie Vision P aGroup PAC ID 9830157635, 2 clinicians

Practice addresses (Care Compare)

8300 College Blvd
Overland Park, KS 66210-2812
Phone (913) 491-3330

8300 College Blvd
Suite 201
Overland Park, KS 66210-1913

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4744SDMDPharmacist
04-28638KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refractive Cataract Center, LLC CurrentSince Feb 2, 2025 Accepting new patients
Durrie Vision, PA CurrentSince Jan 15, 2025 Accepting new patients

Locations

5520 College Blvd
Ste 201
Overland Park, KS 66211
Phone (913) 491-3330

8300 College Blvd
Ste 201
Overland Park, KS 66210
Phone (913) 491-3330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1205830627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 COLLEGE BLVD.",
            "address_2": "SUITE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "913-491-3330",
            "fax_number": "913-491-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 COLLEGE BLVD STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102812",
            "telephone_number": "913-491-3330",
            "fax_number": "913-491-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "JASON",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-28638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.