RICHARD BRIAN JR. STALL (CAA) – Anesthesiology Physician, NPI 1487102356

RICHARD BRIAN JR. STALL (CAA) is a healthcare provider. based in Indianapolis, Indiana. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. 75000005A (IN). The NPI Number for RICHARD BRIAN JR. STALL (CAA) is 1487102356

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD BRIAN JR. STALL (CAA)
NPI
1487102356
Phone
(317) 962-8880
Address
1701 N SENATE BLVD
Enumeration Date
20 September 2016
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
9198739533
Graduation Year
2016 (10 years ago)
PAC ID
1052693843
Group Practice PAC ID
2961316450
Professional Enrollment ID
I20251125003508
Address ID
NC276072949RA2308XCTXX300

Contacts

Secure Messaging
rstall@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

204 ANESTHESIOLOGY ASSISTANT in IN

Provider Addresses for RICHARD BRIAN JR. STALL (CAA)

  • 1701 N SENATE BLVD

    INDIANAPOLIS, IN 462021239

    Phone: (317) 962-8880

    Type: Location

  • 320 WHITTINGTON PKWY

    SUITE 301

    LOUISVILLE, KY 402224928

    Phone: (502) 625-5584

    Fax: (502) 426-2264

    Type: Mailing

  • 320 Whittington Pkwy

    Suite 301

    Louisville, KY 402224928

    Phone: (502) 625-5584

    Fax: (502) 426-2264

    Type: Location

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

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: 2025-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170201000256IAnesthesiology AssistantINTBD
I20220413001247IAnesthesiology AssistantVTTBD
I20251125003508IAnesthesiology AssistantNCTBD

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
01402Anesthesia for procedure for total knee joint replacement4242$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand3128$0
00910Anesthesia for other procedure on urinary system through urethra1918$0
01214Anesthesia for total hip replacement1919$0
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1313$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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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: 2961316450View full group profile

Reviews

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Frequently asked questions

Is there an official ID for RICHARD BRIAN JR. STALL (CAA) in U.S. healthcare records?
The official identifier for RICHARD BRIAN JR. STALL (CAA) is NPI 1487102356.
Would RICHARD BRIAN JR. STALL (CAA) appear as active to a payer?
You can treat RICHARD BRIAN JR. STALL (CAA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with RICHARD BRIAN JR. STALL (CAA)?
RICHARD BRIAN JR. STALL (CAA)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is RICHARD BRIAN JR. STALL (CAA) associated with Indianapolis?
Public fields place RICHARD BRIAN JR. STALL (CAA) around Indianapolis, Indiana. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for RICHARD BRIAN JR. STALL (CAA) is noted as September 20, 2016 where the registry provides it.

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