Individual provider Active NPI

Jonathan Stahl, D.O.

  • Surgery Physician
  • Johnson City, NY
National Provider Identifier
1235511015
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
287113 Issued in NY
Practice address
33-57 Harrison St
Johnson City, NY 13790-2107
Phone
(607) 763-5494
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X T4468 TX
Surgery Physician 208600000X T4468 TX
Surgery Physician 208600000X 287113 NY Primary

Addresses

Primary practice location

33-57 Harrison St
Johnson City, NY 13790-2107

Mailing address

6560 Fannin St Ste 1404
Houston, TX 77030-2706
Phone (914) 413-6581

Other practice location 1

6560 Fannin St Ste 1404
Houston, TX 77030-2706
Phone (914) 413-6581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, DC, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220201001114 TX Practitioner - General Surgery 3375936057 Reassigns benefits to 1 organization
I20230927002102 NY Practitioner - General Surgery 3375936057 Reassigns benefits to 3 organizations
I20241016003872 DC Practitioner - General Surgery 3375936057 Reassigns benefits to 1 organization
I20241104001443 VA Practitioner - General Surgery 3375936057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians
Urgent Specialty Associates of Texas PLLCGroup PAC ID 6507258209, 68 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000

1658 Champlin Ave
Utica, NY 13502-4830
Phone (315) 624-6000

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6101

500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-2511

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287113NYMDSurgery Physician
T4468TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Services Hospitals, Inc. CurrentSince Jan 13, 2026 Accepting new patients
MVHS Inc CurrentSince Sep 23, 2023 Accepting new patients
Urgent Specialty Associates of Texas, PLLC Surgical Critical Care CurrentSince May 23, 2023 Accepting new patients
United Medical Associates PC CurrentSince Jan 13, 2026 Accepting new patients
Urgent Specialty Associates PLLC Surgery CurrentSince Oct 1, 2024 Accepting new patients
MVHS Inc CurrentSince Sep 23, 2023 Accepting new patients
United Medical Associates, P.C. CurrentSince Jan 13, 2026 Accepting new patients
MVHS Inc Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
MVHS Inc Past Accepting new patients

Locations

30 Harrison St
Ste 455
Johnson City, NY 13790
Phone (607) 763-8100

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

601 State St
Utica, NY 13502
Phone (315) 624-6929

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

1850 Town Center Pkwy
Ste 309
Reston, VA 20190
Phone (703) 705-4180

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

7101 Jahnke Rd
Ste 260
Richmond, VA 23225
Phone (804) 716-7755

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Interoperability endpoints

  • Direct secure messaging: jstahl41093@mvhealthsystem.direct-ci.com
  • Direct secure messaging: jstahl398495@directhoustonmethodist.org

Organizations & group practices 10

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 11

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1235511015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1404",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302706",
            "telephone_number": "914-413-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "607-763-5494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 Fannin St Ste 1404",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302706",
            "country_code": "US",
            "telephone_number": "914-413-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "T4468",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T4468",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "287113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.