Individual provider Active NPI

Kevin David Stoffer, MD

  • Emergency Medicine Physician
  • Nashville, TN
National Provider Identifier
1699330621
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0000063670 Issued in TN
Practice address
1313 21St Ave. South
703 Oxford House
Nashville, TN 37232-4700
Phone
(423) 833-8094
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 0000063670 TN Primary

Addresses

Primary practice location

1313 21St Ave. South
703 Oxford House
Nashville, TN 37232-4700

Mailing address

1313 21St Ave. South
703 Oxford House
Nashville, TN 37232-4700
Phone (936) 615-0087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210930002539 TN Practitioner - Emergency Medicine 7911304183 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63670TNMDLicensed Practical Nurse
0000063670TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians at Sumner PLLC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Waybridge TN PC Single Specialty CurrentSince Feb 18, 2025 Accepting new patients

Locations

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

2000 Richard Jones Rd
Ste 260
Nashville, TN 37215
Phone (615) 732-2150

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1699330621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 21ST AVE. SOUTH",
            "address_2": "703 OXFORD HOUSE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372324700",
            "telephone_number": "936-615-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 21ST AVE. SOUTH",
            "address_2": "703 OXFORD HOUSE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372324700",
            "telephone_number": "423-833-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFER",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "0000063670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.