Individual provider Active NPI

David Michael Stoll, M.D.

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1457330169
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G045943 Issued in CA
Practice address
9735 Wilshire Blvd
Suite 418
Beverly Hills, CA 90212-2107
Phone
(310) 273-6558
Fax
(310) 273-3570
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G045943 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd
Suite 418
Beverly Hills, CA 90212-2107

Mailing address

9735 Wilshire Blvd
Suite 418
Beverly Hills, CA 90212-2107
Phone (310) 273-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070717000734 CA Practitioner - Dermatology 1557461738 Practice locations: Beverly Hills, CA; Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Vanderbilt University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9735 Wilshire Blvd
Suite 418
Beverly Hills, CA 90212-2107

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision101
Removal of skin lesions482

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45943CAMDPediatric Dentist
G045943CAMDSpecialist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dstoll@directaddress.net
  • Direct secure messaging: dstoll@sd-ca.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1457330169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "SUITE 418",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-273-8500",
            "fax_number": "310-273-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "SUITE 418",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-273-6558",
            "fax_number": "310-273-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G045943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.