DR. KEVIN R STAHL (DO) – Family Medicine Physician, NPI 1689180473

DR. KEVIN R STAHL (DO) is a healthcare provider. based in Beaumont, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. J2353 (TX). The NPI Number for DR. KEVIN R STAHL (DO) is 1689180473

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN R STAHL (DO)
NPI
1689180473
Phone
(409) 363-1945
Address
6755 PHELAN BLVD
Enumeration Date
16 December 2017
Last Update Date
16 December 2017

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
4095276387
Graduation Year
1991 (35 years ago)
PAC ID
1850650607
Group Practice PAC ID
8325307176
Professional Enrollment ID
I20180219000495
Address ID
TX777065989BE7090XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

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Provider Addresses for DR. KEVIN R STAHL (DO)

  • 6755, Phelan Boulevard, Caldwood, Beaumont, Jefferson County, Texas, 77706, United States

    BEAUMONT, TX 777066075

    Phone: (409) 363-1945

    Type: Location

  • Lakeside Drive, Beaumont, Jefferson County, Texas, United States

    BEAUMONT, TX 777072400

    Phone: (409) 363-1945

    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: 2018-02-19

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
I20180219000495IFamily PracticeTXTBD

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 77706)

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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: 8325307176View full group profile
NameSpecialtyState
-TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for DR. KEVIN R STAHL (DO)?
The registry entry for DR. KEVIN R STAHL (DO) shows NPI 1689180473.
Does the public listing show DR. KEVIN R STAHL (DO) as active?
DR. KEVIN R STAHL (DO)'s NPI record reflects an active status in NPPES.
What does the directory say DR. KEVIN R STAHL (DO) does?
Insurance directories may phrase it differently, but here DR. KEVIN R STAHL (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KEVIN R STAHL (DO) in Beaumont, Texas?
For routing, start with Beaumont, Texas for DR. KEVIN R STAHL (DO), then verify phone and hours locally.
Who maintains DR. KEVIN R STAHL (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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