Individual provider Active NPI

Kathryn Stahl, MD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1326250747
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0072750 Issued in MD
Practice address
110 S Paca St
6TH Floor Ste 200
Baltimore, MD 21201-1642
Phone
(215) 456-6336
NPI assigned
May 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT189257 PA
Emergency Medicine Physician 207P00000X D0072750 MD Primary

Addresses

Primary practice location

110 S Paca St
6TH Floor Ste 200
Baltimore, MD 21201-1642

Mailing address

9114 Providence Ave
Silver Spring, MD 20901-4914
Phone (215) 917-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20111005000606 MD Practitioner - Emergency Medicine 4486826906 Reassigns benefits to 2 organizations
I20120808000771 DC Practitioner - Emergency Medicine 4486826906 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT189257PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 21, 2024 Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince May 21, 2024 Accepting new patients
Mep Observation Services LLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine Current Accepting new patients
Mep Observation Services LLC CurrentSince Jun 1, 2018 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jul 8, 2017 Accepting new patients
Memn Hospitalists, LLC Emergency Medicine Past Accepting new patients

Locations

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: kstahl801890@direct.umm.edu

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1326250747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 PROVIDENCE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014914",
            "telephone_number": "215-917-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "6TH FLOOR STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "215-456-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT189257",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0072750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.