Individual provider Active NPI

Stephanie Marie Stahl, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Indianapolis, IN
National Provider Identifier
1346565371
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
01073636A Issued in IN
Practice address
714 N Senate Ave
Suite 120
Indianapolis, IN 46202-3763
Phone
(812) 499-0014
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01073636A IN
Student in an Organized Health Care Education/Training Program 390200000X
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 01073636A IN Primary

Addresses

Primary practice location

714 N Senate Ave
Suite 120
Indianapolis, IN 46202-3763

Mailing address

714 N Senate Ave Ste 120
Indianapolis, IN 46202-3297
Phone (317) 963-0555

Other practice location 1

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Other practice location 2

11590 N Meridian St Ste 301
Carmel, IN 46032-6954
Phone (317) 371-8611

Other identifiers 2

IdentifierTypeStateIssuer
300028724MedicaidIN
1102579481OtherINANTHEM PTAN

Other names 1

  • Stephanie Marie Tieken Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SSTAHL@DIRECT.IUHEALTH.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190823002879 IN Practitioner - NeurologyPractitioner - Sleep Medicine 2163668146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indiana University Health North Hospital IncGroup PAC ID 2860452505, 3 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

11590 N Meridian St
Carmel, IN 46032-6954
Phone (317) 371-8611

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Diagnostic Associates, Inc. CurrentSince Jul 27, 2019 Accepting new patients
Indiana University Health North Hospital Inc CurrentSince Mar 19, 2025 Accepting new patients
Indiana University Health North Hospital, Inc CurrentSince Mar 19, 2025 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2854 Reliable Pkwy
#862854
Chicago, IL 60686

7301 Solutions Ctr
Chicago, IL 60677

11590 N Meridian St
Carmel, IN 46032
Phone (317) 371-8611

11590 N Meridian St
Ste 301
Carmel, IN 46032
Phone (317) 371-8611

1481 W 10th St
#111
Indianapolis, IN 46202
Phone (317) 554-0181

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

714 N Senate Ave
Ste 120
Indianapolis, IN 46202
Phone (317) 962-2433

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

Interoperability endpoints

  • Direct secure messaging: sstahl@direct.iuhealth.org

Organizations & group practices 5

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1346565371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N SENATE AVE STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023297",
            "telephone_number": "317-963-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N SENATE AVE",
            "address_2": "SUITE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023763",
            "telephone_number": "812-499-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "888-484-3258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11590 N Meridian St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460326954",
            "country_code": "US",
            "telephone_number": "317-371-8611",
            "fax_number": "317-968-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01073636A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "IN",
            "license": "01073636A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028724",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1102579481",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SSTAHL@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11590 N Meridian St Ste 301",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460326954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "TIEKEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.