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JERUSHA E STAHL MD
NPI 1083894638
Internal Medicine in New Canaan, CT

Active since November 13, 2007PECOS Enrolled
69 GROVE ST, NEW CANAAN, CT 06840(844) 359-8363 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 16, 2023, Nov 22, 2021 (2 updates tracked since 2021).

About Jerusha E Stahl Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERUSHA E STAHL MD (NPI 1083894638) is an individual internal medicine provider in New Canaan, Connecticut, licensed in Connecticut (76444) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083894638
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJERUSHA E STAHLCredential: MD
Location Address69 GROVE STNew Canaan, CT 06840-5325
Mailing Address3362 Southview DrEugene, OR 97405-6243 · (917) 232-1821
Phone(844) 359-8363
Sole ProprietorYes
Enumeration DateNovember 13, 2007
Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1083894638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 76444✔ Licensed in OR · 214779✔ Licensed in WA · 61425057✔ Licensed in CA · A101309
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 1992372403 (CT), 1992372403 (NJ), 1043889967 (NY)
69 GROVE ST, New Canaan, CT 06840
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1148 E 38th StNew York, NY 10016-2607 · Phone (833) 955-3592
Location 2500 W Main St Ste 16Wyckoff, NJ 07481-1406 · Phone (844) 359-8363

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerusha E Stahl Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jerusha Stahl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sapphire At Gresham Rehab, LLC
2,446 mi
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1609171081 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1033740899 (503) 666-5600
Southern California Permanente Medical Group
2,453 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA GRIMES ED.D
Psychologist
69 GROVE ST, 126
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 966-5257
DR. KAJAL G ZALAVADIA M.D.
Internal Medicine (Obesity Medicine)
69 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (844) 359-8363
DR. ANNA MARIA WELCOME M.D.
Obstetrics & Gynecology (Obesity Medicine)
69 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (844) 359-8363
DR. JENNIE THOMAS STANFORD M.D.
Family Medicine
69 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (844) 359-8363
JULIE SCHWARTZ RD, LD
Dietitian, Registered (Nutrition, Obesity and Weight Management)
69 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (844) 359-8363
DR. JERRI JENSEN M.D.
Family Medicine
69 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (844) 359-8363
FLYTE MEDICAL PC
Preventive Medicine (Obesity Medicine)
69 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (646) 397-0208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerusha Stahl's NPI number?

The NPI number for Jerusha Stahl is 1083894638. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Where is Jerusha Stahl located?

Jerusha Stahl practices at 69 Grove St, New Canaan, CT 06840. The listed phone number is (844) 359-8363.

What is Jerusha Stahl's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jerusha Stahl enrolled in Medicare?

Yes. Jerusha Stahl is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerusha Stahl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerusha Stahl reassigns Medicare benefits to 2 organizations: Sapphire At Gresham Rehab, LLC (Gresham, OR) and Southern California Permanente Medical Group (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerusha Stahl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerusha Stahl was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.