Individual provider Active NPI

Marshall Taylor Stai, D.O.

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1659758233
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04334 Issued in KY
Practice address
2108 Nicholasville Rd
Lexington, KY 40503
Phone
(859) 278-9413
Fax
(859) 276-0715
NPI assigned
May 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04334 KY Primary

Addresses

Primary practice location

2108 Nicholasville Rd
Lexington, KY 40503

Mailing address

230 Lexington Green Cir Ste 600
Lexington, KY 40503-3326
Phone (859) 971-4695

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstai76073@bhkydirect.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180927001438 KY Practitioner - Internal Medicine 3476866641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2108 Nicholasville Rd
Lexington, KY 40503-2502
Phone (859) 278-9413

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04334KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2018 Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2108 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-5200

2108 Nicholasville Rd
Fl 2
Lexington, KY 40503
Phone (859) 278-9413

Interoperability endpoints

  • Direct secure messaging: mstai76073@bhkydirect.com

Organizations & group practices 2

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 2

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": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1659758233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON GREEN CIR STE 600",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033326",
            "telephone_number": "859-971-4695",
            "fax_number": "859-971-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-278-9413",
            "fax_number": "859-276-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAI",
        "first_name": "MARSHALL",
        "middle_name": "TAYLOR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-02",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "04334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstai76073@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2108 Nicholasville Rd Fl 2",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.