Active NPI
Kevin E Stigall, M.D.
- Surgery Physician
- Paducah, KY
National Provider Identifier
1962408138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 28665
- Practice address
- 2601 Kentucky Ave.
Doctor BLDG. 1 Suite 201
Paducah, KY 42003-8469 - Phone
- (270) 538-9555
- Fax
- (270) 538-9554
- NPI assigned
- Jun 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 28665 | KY | |
| Surgery Physician | 208600000X | 28665 | KY | Primary |
Addresses
Primary practice location
2601 Kentucky Ave.
Doctor BLDG. 1 Suite 201
Paducah, KY 42003-8469
Mailing address
PO Box 8468
Paducah, KY 42002-8468
Phone (270) 538-9555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65945503 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Surgery | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Vascular Specialists,PLLC | Specialist | Past | Accepting new patients |
| Surgical Group PSC | Specialist | Past | Accepting new patients |
Locations
2601 Kentucky Ave
Ste 102
Paducah, KY 42003
Phone (270) 443-0202
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
2601 Kentucky Ave
Ste 201
Paducah, KY 42003
Phone (270) 538-9555
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.
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Specialist
- Paducah, KY
- NPI 1780659946
-
- Specialist
- Paducah, KY
- NPI 1043248859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1962408138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8468",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420028468",
"telephone_number": "270-538-9555",
"fax_number": "270-538-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 KENTUCKY AVE.",
"address_2": "DOCTOR BLDG. 1 SUITE 201",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420038469",
"telephone_number": "270-538-9555",
"fax_number": "270-538-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIGALL",
"first_name": "KEVIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "28665",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "28665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65945503",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.