Individual provider Active NPI

Kathleen A Stahl, MD

  • Rheumatology Physician
  • Vienna, VA
National Provider Identifier
1720616626
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101285502 Issued in VA
Practice address
8130 Boone Blvd Ste 340
Vienna, VA 22182-2640
Phone
(703) 734-2222
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 0101285502 VA Primary

Addresses

Primary practice location

8130 Boone Blvd Ste 340
Vienna, VA 22182-2640

Mailing address

8130 Boone Blvd Ste 340
Vienna, VA 22182-2640
Phone (703) 734-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20250820003152 DC Practitioner - Internal Medicine 8921508458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8130 Boone Blvd
Suite 340
Vienna, VA 22182-2640
Phone (703) 734-2222

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101285502VAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Rheumatology Clinical Center of Northern Virginia, PLLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8130 Boone Blvd
Ste 340
Vienna, VA 22182
Phone (703) 734-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBAADA

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 1

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1720616626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 BOONE BLVD STE 340",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822640",
            "telephone_number": "703-734-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 BOONE BLVD STE 340",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822640",
            "telephone_number": "703-734-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101285502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.