NPIMap

Individual provider Active NPI

Eric Robert Stockall, MD

  • Urology Physician
  • Okemos, MI
National Provider Identifier
1972560415
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301050188 Issued in MI
Practice address
2090 Jolly Rd
Suite 150
Okemos, MI 48864-3958
Phone
(517) 349-3900
Fax
(517) 349-3939
NPI assigned
Apr 27, 2006
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301050188 MI
Urology Physician 208800000X 4301050188 MI Primary

Addresses

Primary practice location

2090 Jolly Rd
Suite 150
Okemos, MI 48864-3958

Mailing address

2090 Jolly Rd
Suite 150
Okemos, MI 48864-3958
Phone (517) 349-3900

Other identifiers 4

IdentifierTypeStateIssuer
0330578OtherMIBLUE CROSS BLUE SHIELD
124132OtherMIPREFERRED CHOICES
C6406OtherMIMCARE
4172326MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000930 MI Practitioner - Urology 4486618113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Healthcare, PLLCGroup PAC ID 6002045895, 23 clinicians
Consulting Urology Associates PLLCGroup PAC ID 7416440805, 6 clinicians

Practice addresses (Care Compare)

2090 Jolly Rd
Suite 150
Okemos, MI 48864-6036
Phone (517) 349-3900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301050188MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
Consulting Urology Associates PLLC Urology CurrentSince Nov 11, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Apr 1, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Apr 1, 2023 Accepting new patients
McLaren Greater Lansing Past Accepting new patients
Capital Urological Associates Laboratory Past Accepting new patients

Locations

451 Hidden Meadows Dr
Ste 290
Hillsdale, MI 49242
Phone (269) 226-5050

2800 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 768-0600

200 N Madison St
Ste 3C
Marshall, MI 49068
Phone (517) 964-0265

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

2090 Jolly Rd
Ste 150
Okemos, MI 48864
Phone 5173493900503

Interoperability endpoints

  • Direct secure messaging: ericstockall@cua.allscriptsdirect.net
  • Direct secure messaging: estockall649043@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1972560415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 JOLLY RD",
            "address_2": "SUITE 150",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643958",
            "telephone_number": "517-349-3900",
            "fax_number": "517-349-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 JOLLY RD",
            "address_2": "SUITE 150",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643958",
            "telephone_number": "517-349-3900",
            "fax_number": "517-349-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKALL",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301050188",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301050188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0330578",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "124132",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C6406",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4172326",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.