Individual provider Active NPI

Kevin E Stigall, M.D.

  • Surgery Physician
  • Paducah, KY
National Provider Identifier
1962408138
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
28665 Issued in KY
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

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
65945503MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060920000399 KY Practitioner - General SurgeryPractitioner - General Practice 4385649623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Surgery Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2022 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.

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

Verify at the official NPI Registry.