JERUSHA E STAHL (MD) – Internal Medicine Physician, NPI 1083894638
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JERUSHA E STAHL (MD)
3362 SOUTHVIEW DR
EUGENE, OR 974056243
Phone: (917) 232-1821
Type: Mailing
148 E 38th St
New York, NY 100162607
Phone: (833) 955-3592
Type: Location
500 W Main St Ste 16
Wyckoff, NJ 074811406
Phone: (844) 359-8363
Type: Location
69 GROVE ST
NEW CANAAN, CT 068405325
Phone: (844) 359-8363
Type: Location
Kaiser Permanente West Los Angeles Medical Center, 6041, Cadillac Avenue, Mid-City, Los Angeles, Los Angeles County, California, 90034, United States
LOS ANGELES, CA 900341702
Phone: (323) 857-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Novo Nordisk Inc ($95).
Total Amount
$171
General + Research + Ownership
Payments
2
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $95 |
| Currax Pharmaceuticals LLC | $76 |
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: 2023-08-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080509000270 | I | Internal Medicine | CA | TBD |
| I20230801002169 | I | Internal Medicine | OR | TBD |
| I20230801002288 | I | Internal Medicine | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| Physician Assistant | CA | |
| N E U R O L O G Y | CA | |
| Internal Medicine | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Family Practice, Sports Medicine | CA | |
| Internal Medicine | CA |
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