ANDREW STOLLE – Emergency Medicine Physician, NPI 1215315221

ANDREW STOLLE is a healthcare provider. based in San diego, California. specializing in Emergency Medicine Physician. They hold a License No. A145565 (CA). The NPI Number for ANDREW STOLLE is 1215315221

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW STOLLE
NPI
1215315221
Phone
Not provided
Address
4647 ZION AVE
Enumeration Date
11 May 2015
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
6196863800
Graduation Year
2015 (11 years ago)
PAC ID
9739455643
Group Practice PAC ID
1557327608
Professional Enrollment ID
I20180711003515

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

Provider Addresses for ANDREW STOLLE

  • 4647 ZION AVE

    SAN DIEGO, CA 921202507

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180711003515IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 92120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557327608View full group profile
NameSpecialtyState
Physician AssistantCA
Emergency MedicineCA
-CA
-CA
-CA
Emergency MedicineCA
Emergency MedicineOH
Nurse PractitionerCA
-CA
Emergency Medicine, Medical ToxicologyCO

Reviews

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Frequently asked questions

How is ANDREW STOLLE identified in CMS data?
CMS-hosted NPPES data lists ANDREW STOLLE with NPI 1215315221.
Is ANDREW STOLLE still practicing?
ANDREW STOLLE is currently listed as active in the public NPI registry.
What healthcare role does ANDREW STOLLE hold?
Scheduling teams often label ANDREW STOLLE under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ANDREW STOLLE on a map?
Expect San Diego, California as a primary anchor for ANDREW STOLLE unless the record lists multiple sites.
Why does ANDREW STOLLE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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