Active NPI
Michael Keith Stahl, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Glenwood Springs, CO
National Provider Identifier
1861401432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 29913
- Practice address
- 1906 Blake Ave
Glenwood Springs, CO 81601-4227 - Phone
- (970) 945-6535
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 29913 | CO | Primary |
Addresses
Primary practice location
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Mailing address
12905 Highway 82
Carbondale, CO 81623-9505
Phone (970) 963-8678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Wisconsin, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29913 | CO | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 29918 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Assoc of the Roaring Fork | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| Travis W. Martin, M.D. P.C. | Past | Accepting new patients |
Locations
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
Organizations & group practices 5
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.
-
- Emergency Care Clinic/Center
- Glenwood Springs, CO
- NPI 1114654795
-
- Anatomic Pathology & Clinical Pathology Physician
- Glenwood SPGS, CO
- NPI 1386624203
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Carbondale, CO
- NPI 1457235202
-
- Urgent Care Clinic/Center
- Glenwood Springs, CO
- NPI 1790397008
-
- Emergency Medicine Physician
- Glenwood Springs, CO
- NPI 1932349693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861401432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12905 HIGHWAY 82",
"city": "CARBONDALE",
"state": "CO",
"postal_code": "816239505",
"telephone_number": "970-963-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BLAKE AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014227",
"telephone_number": "970-945-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHL",
"first_name": "MICHAEL",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CO",
"license": "29913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.