Stella R. Staley, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24651 Issued in KY

Practice address

400 S 1St St
Louisville, KY 40202-1416

Phone

(502) 574-2273

Fax

(502) 574-7853

NPI assigned

Aug 3, 2006

Last updated

Sep 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 KY

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

Internal MedicineAlso: Emergency Medicine

Education

University of Kentucky College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Health Group of Kentucky PLLCGroup PAC ID 4385966894, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physicians Health Group of Kentucky, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Lexington, KY
  • NPI 1437555299
  Medicare reassignment Care Compare group NPD
• Physicians Health Group of Louisville LLC

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
  • NPI 1518478783
  Medicare reassignment NPD
• Physicians Health Group of Kentucky, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1104343490
  NPD
• Staley-Mueller Primary Care, Et Al, PSC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1073548723
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1639187941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 AISHLINS CT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757975",
            "telephone_number": "859-396-4874",
            "fax_number": "502-574-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021416",
            "telephone_number": "502-574-2273",
            "fax_number": "502-574-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "STELLA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "24651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Kathryn Staggs
• James Andrew Stahl, PHARMD
• Chris Ann Stahr, COTA/L
• Julia L Staib, APRN - NP
• John Regan Staley, MD
• Alexis Leena Stallard
• Barbara Fulton Stallard, LCSW
• Olivia Forester Stallins
• Annette A Stambaugh
• Elaine Stamper

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.