Provider Demographics
NPI:1326098492
Name:STAHL, LLOYD D (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:D
Last Name:STAHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 W 119TH ST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3721
Mailing Address - Country:US
Mailing Address - Phone:913-253-3000
Mailing Address - Fax:913-663-2980
Practice Address - Street 1:5701 W 119TH ST
Practice Address - Street 2:430
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3721
Practice Address - Country:US
Practice Address - Phone:913-253-3000
Practice Address - Fax:913-663-2980
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR6G98207RC0000X
KS0421826207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
0600031971OtherRAILROAD MEDICARE
MO202409215Medicaid
KSP00908852OtherMEDICARE RAILROAD
KS100205950AMedicaid
MOP00696687OtherMO-RAILROAD PTAN
MO4506827AMedicare ID - Type UnspecifiedMO MEDICARE #
MOMA2310009Medicare PIN
KSK676827AMedicare PIN
KSC51687Medicare UPIN
MO202409215Medicaid
MOK676827Medicare PIN
0600031971OtherRAILROAD MEDICARE
KS4506827DMedicare ID - Type UnspecifiedKANSAS MEDICARE