Individual provider Active NPI

Barry K Stoll, D.O.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1750677928
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2011019214 Issued in MO
Practice address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone
(314) 251-5834
Fax
(314) 251-6272
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011019214 MO Primary

Addresses

Primary practice location

615 S New Ballas Rd
Saint Louis, MO 63141-8221

Mailing address

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-5834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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
I20160609001857 MO Practitioner - Internal Medicine 0840418760 Reassigns benefits to 5 organizations
I20170206002227 AR Practitioner - Critical Care (Intensivists) 0840418760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Physicians and Surgeons, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Anthonys Physician Organization Hospitalist Services LCGroup PAC ID 5092980656, 140 clinicians
Mercy Clinic Adult Critical Care LLCGroup PAC ID 3779512041, 59 clinicians

Practice addresses (Care Compare)

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6486

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011019214MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince May 25, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 27, 2016 Accepting new patients
Mercy Clinic Adult Critical Care, LLC CurrentSince Jul 1, 2016 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jul 27, 2022 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Mar 6, 2020 Accepting new patients
Physician Specialists of St Lukes LLC Internal Medicine CurrentSince Apr 12, 2022 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jul 27, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 27, 2016 Accepting new patients
Mercy Hospital South Past Accepting new patients

Locations

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2821 N Ballas Rd
Ste 118
Saint Louis, MO 63131

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

625 S New Ballas Rd
Ste 7020
Saint Louis, MO 63141
Phone (314) 251-6486

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

282 Mid Rivers Ctr
Saint Peters, MO 63376

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 9

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 2

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1750677928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-5834",
            "fax_number": "314-251-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-5834",
            "fax_number": "314-251-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "BARRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011019214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.