Active NPI
Scott Ronald Stoll, M.D.
- Physical Medicine & Rehabilitation Physician
- Bethlehem, PA
National Provider Identifier
1831197045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD419657
- Practice address
- 2775 Schoenersville Rd
Bethlehem, PA 18017-7307 - Phone
- (610) 861-8080
- Fax
- (610) 807-0366
- NPI assigned
- Jul 12, 2005
- Last updated
- May 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD419657 | PA | Primary |
Addresses
Primary practice location
2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Mailing address
2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0208746000 | Other | INDEPENDENCE BLUE CROSS | |
| 1398626 | Other | HIGHMARK BLUE SHIELD | |
| 2150109 | Other | UNITED HEALTHCARE | |
| 2170565 | Other | MAMSI | |
| 0208746000 | Other | AMERIHEALTH | |
| 260051063 | Other | RAILROAD MEDICARE | |
| 50011845 | Other | KEYSTONE HEALTH CENTRAL | |
| 0208746000 | Other | KEYSTONE HEALTH EAST | |
| 3286904 | Other | HEALTH AMERICA/HEALTH ASS | |
| 9244337 | Other | PRIVATE HEALTHCARE SYSTEM | |
| P3159655 | Other | OXFORD HEALTH PLANS | |
| 0019034540003 | Medicaid | PA | |
| 3001265 | Other | AETNA PPO | |
| 50011845 | Other | CAPITAL BLUE CROSS | |
| 75928 | Other | GEISINGER HEALTH PLAN | |
| 821137 | Other | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1831197045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177307",
"telephone_number": "610-861-8080",
"fax_number": "610-807-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177307",
"telephone_number": "610-861-8080",
"fax_number": "610-807-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLL",
"first_name": "SCOTT",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD419657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0208746000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1398626",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2150109",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2170565",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0208746000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260051063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH CENTRAL",
"identifier": "50011845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH EAST",
"identifier": "0208746000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA/HEALTH ASS",
"identifier": "3286904",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "9244337",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P3159655",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019034540003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "3001265",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50011845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "75928",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "821137",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.