Active NPI
Kristen Chase Stadtlander, MD
- Anesthesiology Physician
- Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 226535
- Practice address
- 163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118 - Phone
- (781) 337-4224
- Fax
- (781) 335-0429
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 226535 | MA | |
| Anesthesiology Physician | 207L00000X | 226535 | MA | Primary |
Addresses
Primary practice location
163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118
Mailing address
163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118
Phone (781) 337-4224
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA163392 | Other | MA | HARVARD PILGRIM |
| 2108143 | Medicaid | MA | |
| 478852 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Rush Medical College of Rush University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
Hospital & facility affiliations
- South Shore Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 88.12
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Suburban Gastroenterology, PC | Current | Accepting new patients | |
| South Shore Anesthesia Associates, Inc | Anesthesiology | Past | Accepting new patients |
| Weymouth Endoscopy, LLC | Past | Accepting new patients |
Locations
1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922
97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
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.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Gastroenterology Physician
- South Weymouth, MA
- NPI 1114948478
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1215066394
-
- Endoscopy Clinic/Center
- South Weymouth, MA
- NPI 1033199906
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1497700538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 LIBBEY PKWY",
"address_2": "SUITE 301",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893118",
"telephone_number": "781-337-4224",
"fax_number": "781-335-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 LIBBEY PKWY",
"address_2": "SUITE 301",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893118",
"telephone_number": "781-337-4224",
"fax_number": "781-335-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STADTLANDER",
"first_name": "KRISTEN",
"middle_name": "CHASE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MA",
"license": "226535",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "226535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA163392",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2108143",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "478852",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.