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STALL SENIOR MEDICAL LLC
NPI 1104087915
Internal Medicine - Geriatric Medicine in Getzville, NY

Active since June 24, 2008
97 KING ANTHONY WAY, GETZVILLE, NY 14068(716) 861-1312(888) 976-5853 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2026, Aug 17, 2018 (2 updates tracked since 2018).

About Stall Senior Medical Llc NPPES

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

STALL SENIOR MEDICAL LLC (NPI 1104087915) is a healthcare organization registered as a geriatric medicine in Getzville, New York and active in the NPI registry since June 2008. The organization lists Robert Stall, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1104087915
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSTALL SENIOR MEDICAL LLC
Location Address97 KING ANTHONY WAYGetzville, NY 14068-1413
Mailing Address97 King Anthony WayGetzville, NY 14068-1413 · (716) 861-1312 · Fax (888) 976-5853
Phone(716) 861-1312
Fax(888) 976-5853
Organization SubpartNo
Authorized OfficialRobert StallOwner/ceo · (716) 861-1312
Enumeration DateJune 24, 2008
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1104087915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in NY · 163872
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
97 KING ANTHONY WAY, Getzville, NY 14068
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stall Senior Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Stall Senior Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Robert Stall, M.D.
Geriatric Medicine
NPI 1205822202
97 KING ANTHONY WAY
Getzville, NY 14068
(716) 861-1312
✔ PECOSSame address
David Armstrong
Nurse Practitioner
NPI 1962048793
273 DIVISION ST
North Tonawanda, NY 14120
(716) 725-9000
✔ PECOS5.9 mi
Rachel Ludwig, NP
Nurse Practitioner
NPI 1528208675
100 HIGH ST
Buffalo, NY 14203
(716) 859-5600
✔ PECOS✔ Accepts Medicare11 mi
Keith Levine, NP
Nurse Practitioner
NPI 1548677461
85 HIGH ST
Buffalo, NY 14203
(716) 630-1000
✔ PECOS✔ Accepts Medicare11 mi
Katherine Flower
Nurse Practitioner
NPI 1821360330
85 HIGH ST
Buffalo, NY 14203
(716) 630-1000
✔ PECOS✔ Accepts Medicare11 mi
Anna Colby, FNP-BC
Nurse Practitioner
NPI 1093340465
1316 ALVERSER PLZ
Midlothian, VA 23113
(804) 379-0116
✔ PECOS✔ Accepts Medicare385 mi

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

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 Stall Senior Medical LLC's NPI number?

The NPI number for Stall Senior Medical LLC is 1104087915. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Stall Senior Medical LLC located?

Stall Senior Medical LLC is located at 97 King Anthony Way, Getzville, NY 14068. The listed phone number is (716) 861-1312.

What is Stall Senior Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Stall Senior Medical LLC enrolled in Medicare?

Yes. Stall Senior Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stall Senior Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Stall Senior Medical LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Geriatric Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stall Senior Medical LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.