Individual provider Active NPI

Drew Nathaniel Stal, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Arlington, TX
National Provider Identifier
1376962530
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
S5783 Issued in TX
Practice address
902 W Randol Mill Rd Ste 120
Arlington, TX 76012-2579
Phone
(817) 801-1503
Fax
(817) 801-1508
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X S5783 TX
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X S5783 TX Primary

Addresses

Primary practice location

902 W Randol Mill Rd Ste 120
Arlington, TX 76012-2579

Mailing address

902 W Randol Mill Rd Ste 120
Arlington, TX 76012-2579
Phone (817) 801-1503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200826000534 TX Practitioner - Orthopedic Surgery 6406190735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

902 W Randol Mill Rd
Suite 120
Arlington, TX 76012-2579
Phone (817) 801-1503

Hospital & facility affiliations

  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Sep 1, 2020 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2020 Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

902 W Randol Mill Rd
Ste 120
Arlington, TX 76012
Phone (817) 801-1503

2008 L Don Dodson Dr
Ste 100
Bedford, TX 76021
Phone (817) 285-8400

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

Interoperability endpoints

  • Direct secure messaging: dstal1649262@direct.texashealth.org

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1376962530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W RANDOL MILL RD STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122579",
            "telephone_number": "817-801-1503",
            "fax_number": "817-801-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W RANDOL MILL RD STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122579",
            "telephone_number": "817-801-1503",
            "fax_number": "817-801-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAL",
        "first_name": "DREW",
        "middle_name": "NATHANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "S5783",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TX",
            "license": "S5783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.