Individual provider Active NPI

Stacie Alison Kahan, M.D.

  • Surgery Physician
  • White Plains, NY
National Provider Identifier
1245474287
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
281996 Issued in NY
Practice address
170 Maple Ave
Suite 502
White Plains, NY 10601-4710
Phone
(914) 948-1000
Fax
(914) 949-6109
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X AS2383278-0729 CT
Surgery Physician 208600000X 281996 NY Primary

Addresses

Primary practice location

170 Maple Ave
Suite 502
White Plains, NY 10601-4710

Mailing address

170 Maple Ave
Suite 502
White Plains, NY 10601-4710
Phone (914) 948-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20151120002239 NY Practitioner - General Surgery 4183848864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

122 Maple Ave
FL 9
White Plains, NY 10601-4706
Phone (914) 948-1000

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)34
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AS2383278-0729CTMDSurgery Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Surgery CurrentSince Jan 1, 2021 Accepting new patients
White Plains Hospital Medical Center Surgery Current Accepting new patients
White Plains Hospital Medical Center CurrentSince Oct 14, 2015 Accepting new patients
White Plains Hospital Medical Center Past Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

122 Maple Ave
Fl 9
White Plains, NY 10601
Phone (914) 849-3755

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

170 Maple Ave
Ste 502
White Plains, NY 10601
Phone (914) 948-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 1

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1245474287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MAPLE AVE",
            "address_2": "SUITE 502",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014710",
            "telephone_number": "914-948-1000",
            "fax_number": "914-949-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MAPLE AVE",
            "address_2": "SUITE 502",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014710",
            "telephone_number": "914-948-1000",
            "fax_number": "914-949-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHAN",
        "first_name": "STACIE",
        "middle_name": "ALISON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "AS2383278-0729",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "281996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.