Individual provider Active NPI

Kent E Stahl, DPM

  • Foot Surgery Podiatrist
  • Nederland, TX
National Provider Identifier
1386683183
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1748 Issued in TX
Practice address
520 S Twin City Hwy Ste 102
Nederland, TX 77627-4246
Phone
(409) 727-1773
Fax
(409) 727-1433
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1748 TX Primary

Addresses

Primary practice location

520 S Twin City Hwy Ste 102
Nederland, TX 77627-4246

Mailing address

520 S Twin City Hwy Ste 102
Nederland, TX 77627-4246
Phone (409) 727-1773

Other practice location 1

2234 Nederland Avenue
Port Neches, TX 77651-3926
Phone (409) 727-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060623000035 TX Practitioner - Podiatry 9638181217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

520 S Twin City Hwy
Suite 102
Nederland, TX 77627-4246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of skin lesions1-10
Removal of nail tissue100
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1748TXMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Qamar U Arfeen MD PA CurrentSince Sep 8, 2014 Accepting new patients
Pete O'Donald DPM, PLLC Foot Surgery CurrentSince Mar 1, 2025 Accepting new patients

Locations

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

3406 College St
#200
Beaumont, TX 77701
Phone (409) 813-2332

3406 College St
#100
Beaumont, TX 77701
Phone (409) 622-1424

3406 College St
Ste 100
Beaumont, TX 77701

520 S Twin City Hwy
Ste 101
Nederland, TX 77627
Phone (409) 726-2000

2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321

2234 Nederland Ave
Port Neches, TX 77651
Phone (409) 722-5533

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16499/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kent.stahl.1@16499.direct.athenahealth.com

Organizations & group practices 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1386683183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S TWIN CITY HWY STE 102",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776274246",
            "telephone_number": "409-727-1773",
            "fax_number": "409-727-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S TWIN CITY HWY STE 102",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776274246",
            "telephone_number": "409-727-1773",
            "fax_number": "409-727-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2234 Nederland Avenue",
            "address_purpose": "LOCATION",
            "city": "Port Neches",
            "state": "TX",
            "postal_code": "776513926",
            "country_code": "US",
            "telephone_number": "409-727-1122",
            "fax_number": "409-727-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "KENT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.