Stacey Renee Kastl, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301083989 Issued in MI

Practice address

2940 Crooks Rd
Rochester Hills, MI 48309-3609

Phone

(248) 997-9700

Fax

(248) 997-9711

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Wayne State University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stonebrooke Family PhysiciansGroup PAC ID 7315992922, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
• Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skastl1035631@direct.hfhs.org
• Direct secure messaging: staceykastl@sfp.allscriptsdirect.net

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.

• Stonebrooke Family Physicians

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1972667780
  Medicare reassignment Care Compare group NPD
• Stonebrooke Family Physicians

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1184682767
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Rochester Hospital

  • General Acute Care Hospital
  • Rochester, MI
  • NPI 1437176203
  Care Compare affiliation
• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1407064892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 CROOKS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093609",
            "telephone_number": "248-997-9700",
            "fax_number": "248-997-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 CROOKS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093609",
            "telephone_number": "248-997-9700",
            "fax_number": "248-997-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTL",
        "first_name": "STACEY",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301083989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raad P Kasmikha, MD
• Mona Kaspo, R.P.H
• Dina Kassab, D.O.
• Mark William Kast, MPT
• Bianca Kastaw
• Lisa Kassab Kattula
• Meagan Keat, P.T.
• Ronald Douglas Keen II, ATC
• James Keener, MSW
• Sally Warda Kejbou, AGNP

• Family Medicine Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.