Individual provider Active NPI

Gregory David Stahl, MD

  • Internal Medicine Physician
  • Venice, FL
National Provider Identifier
1669449807
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91241 Issued in FL
Practice address
1654 Lancashire Dr
Venice, FL 34293-0310
Phone
(941) 416-6086
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME91241 FL Primary
Internal Medicine Physician 207R00000X 142773 NY

Addresses

Primary practice location

1654 Lancashire Dr
Venice, FL 34293-0310

Mailing address

1654 Lancashire Dr
Venice, FL 34293-0310
Phone (941) 416-6086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031230000653 NY Practitioner - Internal Medicine 4587562327 Reassigns benefits to 1 organization
I20190506002054 MA Practitioner - Internal Medicine 4587562327 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142773NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc CurrentSince May 26, 2021 Accepting new patients
Fairview Hospital CurrentSince Apr 12, 2019 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Apr 12, 2019 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
Chenango Memorial Hospital, Inc. Internal Medicine CurrentSince May 26, 2021 Accepting new patients
Martin'S Point Health Care, Inc. Internal Medicine Past Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1669449807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 LANCASHIRE DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342930310",
            "telephone_number": "941-416-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 LANCASHIRE DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342930310",
            "telephone_number": "941-416-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "GREGORY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91241",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "142773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.