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NPI · 1104087915 · NPPES-sourced

Stall Senior Medical LLC

ActiveGeriatric Medicine (Internal Medicine) Physician
NPI Number
1104087915
Type 2 · Organisation
Contact
(716) 861-1312
License NY · 163872
Last Updated
Enumerated
Primary practice addressNY · 14068-1413
97 King Anthony WayGetzville, NY 14068-1413
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About this NPIWhat this record shows.

NPI 1104087915 is registered to Stall Senior Medical LLC, a healthcare organisation classified as "Geriatric Medicine (Internal Medicine) Physician" and located at 97 King Anthony Way in Getzville, New York. The organisation's authorised official is Robert Stall. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Stall Senior Medical LLC accepts. To confirm in-network status with your specific health plan, contact Stall Senior Medical LLC directly at (716) 861-1312.

Frequently asked

Yes. NPI 1104087915 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Geriatric Medicine (Internal Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (716) 861-1312.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Stall Senior Medical LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207RG0300X
Last updated
Enumerated
StatusActive
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Same specialtyOther Geriatric Medicine (Internal Medicine) Physician providers in New York.

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