Individual provider Active NPI

Daniel Stahl, D.O.

  • Family Medicine Physician
  • Rushville, IN
National Provider Identifier
1497715205
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
IN02001999 Issued in IN
Practice address
201 Conrad Harcourt Way Ste a
Rushville, IN 46173-1157
Phone
(765) 932-7591
Fax
(765) 932-7576
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IN02001999 IN Primary

Addresses

Primary practice location

201 Conrad Harcourt Way Ste a
Rushville, IN 46173-1157

Mailing address

1300 N Main St
Rushville, IN 46173-1198
Phone (765) 932-4111

Other identifiers 4

IdentifierTypeStateIssuer
200265090BMedicaidIN
356004464OtherINTAX ID
IN02001999OtherININ LIC #
000000331182OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DanielStahl@rushmemorial.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040706001001 IN Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9133106339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians

Practice addresses (Care Compare)

201 Conrad Harcourt Way
Suite a
Rushville, IN 46173-1157
Phone (765) 932-7591

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Rush Memorial Hospital Hospital, Rushville, IN, CCN 151304
  • Reid Health Hospital, Richmond, IN, CCN 150048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IN02001999INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Memorial Hospital Family Medicine CurrentSince Jun 1, 2004 Accepting new patients
Rush Memorial Hospital CurrentSince Jun 1, 2004 Accepting new patients
Major Hospital Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Rush Memorial Home Health Past Accepting new patients

Locations

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

323 Conrad Harcourt Way
Rushville, IN 46173
Phone (765) 932-4441

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

201 Harcourt Way
Ste A
Rushville, IN 46173
Phone (765) 932-7591

Interoperability endpoints

  • Direct secure messaging: danielstahl@rushmemorial.cernerdirect.com

Organizations & group practices 5

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 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1497715205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731198",
            "telephone_number": "765-932-4111",
            "fax_number": "765-932-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CONRAD HARCOURT WAY STE A",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731157",
            "telephone_number": "765-932-7591",
            "fax_number": "765-932-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "DANIEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "IN02001999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200265090B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "356004464",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LIC #",
            "identifier": "IN02001999",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000331182",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DanielStahl@rushmemorial.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Documents and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Documents and CCD Exchange",
            "address_1": "110 E 13th St",
            "city": "Rushville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461732126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.