Active NPI
Kieran C. Stober, M.D.
- Hematology & Oncology Physician
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD.207339
- Practice address
- 4513 Westbank Expy
Marrero, LA 70072-3120 - Phone
- (504) 349-6360
- Fax
- (504) 349-6363
- NPI assigned
- May 10, 2011
- Last updated
- Aug 21, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 207339 | LA | |
| Hematology & Oncology Physician | 207RH0003X | MD.207339 | LA | Primary |
Addresses
Primary practice location
4513 Westbank Expy
Marrero, LA 70072-3120
Mailing address
1101 Medical Center Blvd.
Marrero, LA 70072
Phone (504) 349-1656
Other practice location 1
1101 Medical Center Blvd.
Marrero, LA 70072
Phone (504) 349-1656
Other names 1
- Dr. KC Stober
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- Internal Medicine
- Education
- Tulane University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-2427
1101 Medical Ctr Blvd ER
Marrero, LA 70072-3147
Phone (504) 349-1533
4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360
Hospital & facility affiliations
- West Jefferson Medical Center
- University Medical Center New Orleans
- Ochsner Medical Center Acute
- Touro Infirmary
- East Jefferson General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 68.02
- Improvement activities
- 40
- Cost
- 76.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207339 | LA | MD | Internal Medicine Physician |
| MD.207339 | LA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Orleans Physician Services Inc | Internal Medicine | Current | Accepting new patients |
| Culicchia Neurological Clinic, LLC | Past | Accepting new patients |
Locations
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
4513 Westbank Expy
Marrero, LA 70072
Phone (504) 349-6360
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1396169678
-
- Specialist
- Marrero, LA
- NPI 1376669952
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
dba University Medical Center New Orleans
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
-
dba West Jefferson Medical Center
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1679865562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MEDICAL CENTER BLVD.",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-349-1656",
"fax_number": "504-349-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4513 WESTBANK EXPY",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723120",
"telephone_number": "504-349-6360",
"fax_number": "504-349-6363"
}
],
"practiceLocations": [
{
"address_1": "1101 Medical Center Blvd.",
"address_purpose": "LOCATION",
"city": "Marrero",
"state": "LA",
"postal_code": "70072",
"country_code": "US",
"telephone_number": "504-349-1656",
"fax_number": "504-349-1933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOBER",
"first_name": "KIERAN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-10",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "207339",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "LA",
"license": "MD.207339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KC",
"last_name": "STOBER",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.