Kevin R Stahl, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J2353 Issued in TX

Practice address

6755 Phelan Blvd
Beaumont, TX 77706-6075

Phone

(409) 363-1945

NPI assigned

Dec 16, 2017

Sex

Male

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 TX

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

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kare Infusion Center LLCGroup PAC ID 8325307176, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25596/brand/1/csg/1/fhir/r4

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.

• Kare Infusion Center LLC

  • Infusion Therapy Clinic/Center
  • Beaumont, TX
  • NPI 1598272338
  Medicare reassignment Care Compare group NPD
• Texas Regional Physicians

  • Interventional Pain Medicine Physician
  • Houston, TX
  • NPI 1467011643
  NPD (past)

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

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513382400000",
    "number": "1689180473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E LAKESIDE DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072400",
            "telephone_number": "409-363-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066075",
            "telephone_number": "409-363-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "KEVIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-16",
        "last_updated": "2017-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann St Amand, MD
• St Elizabeth Rehab Partners, LLP
• Rayann St. Peter, LPC
• Michael Todd Stafford, M.D.
• Tamara Stafford, LVN
• Brian Edward Stampley, LPC
• Bonni Blue Stancoven, CRNA
• Wendi Stanley, MSN, APN, NNP-BC
• Starpoint Educational Enrichment Center, LLC
• Brianica Starr

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2017; 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.