BRIAN PATRICK STAAK (MD) – Anesthesiology Physician, NPI 1083241103

BRIAN PATRICK STAAK (MD) is a healthcare provider. based in Jbsa lackland, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 0101274302 (VA). The NPI Number for BRIAN PATRICK STAAK (MD) is 1083241103

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN PATRICK STAAK (MD)
NPI
1083241103
Phone
(210) 916-8666
Address
1100 WILFORD HALL LOOP BLDG 4554
Enumeration Date
26 March 2020
Last Update Date
18 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342863579
Graduation Year
2020 (6 years ago)
PAC ID
2567992191
Group Practice PAC ID
5799684148
Professional Enrollment ID
I20250211003221
Address ID
AL361162409MO2105XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:6State licenses:2Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

Provider Addresses for BRIAN PATRICK STAAK (MD)

  • 1100 WILFORD HALL LOOP BLDG 4554

    JBSA LACKLAND, TX 782365638

    Phone: (210) 916-8666

    Fax: (210) 916-8712

    Type: Location

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 916-8666

    Fax: (210) 916-8712

    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: 2025-02-11

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
I20250211003221IAnesthesiologyALTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78236)

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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: 5799684148View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YAL

Reviews

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Frequently asked questions

Where can patients find BRIAN PATRICK STAAK (MD)'s NPI?
You can confirm BRIAN PATRICK STAAK (MD) with NPI 1083241103; it appears in the national provider directory.
Is BRIAN PATRICK STAAK (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does BRIAN PATRICK STAAK (MD) treat or focus on?
Patients typically see BRIAN PATRICK STAAK (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for BRIAN PATRICK STAAK (MD)?
We surface Jbsa Lackland, Texas for BRIAN PATRICK STAAK (MD) based on available NPPES addresses.
What if Jbsa Lackland, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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