Individual provider Active NPI

Rhonda Harris Stahl, M.D.

  • Geriatric Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1376660191
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
200401128 Issued in NC
Practice address
4700 Homewood CT Ste 220
Raleigh, NC 27609-5732
Phone
(919) 787-7125
Fax
(919) 781-9952
NPI assigned
Mar 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 200401128 NC Primary

Addresses

Primary practice location

4700 Homewood CT Ste 220
Raleigh, NC 27609-5732

Mailing address

4700 Homewood CT Ste 220
Raleigh, NC 27609-5732
Phone (919) 787-7125

Other identifiers 1

IdentifierTypeStateIssuer
147JUOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041108000702 NC Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7113980483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
University of Florida College of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4700 Homewood CT
Suite 220
Raleigh, NC 27609-5732
Phone (919) 787-7125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200401128NCMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhonda H. Stahl, M.D.,P.a. CurrentSince Jul 1, 2007 Accepting new patients

Locations

4700 Homewood Ct
Ste 220
Raleigh, NC 27609
Phone (919) 787-7125

3900 Browning Pl
Ste 201
Raleigh, NC 27609
Phone (919) 787-7125

Organizations & group practices 1

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": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1376660191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 HOMEWOOD CT STE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095732",
            "telephone_number": "919-787-7125",
            "fax_number": "919-781-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HOMEWOOD CT STE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095732",
            "telephone_number": "919-787-7125",
            "fax_number": "919-781-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "RHONDA",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "200401128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "147JU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.