KAITLIN STACKABLE DO
NPI 1265178271
Internal Medicine - Hematology & Oncology in Saint Louis, MO

Q: What is Kaitlin Stackable's NPI number?

The NPI number for Kaitlin Stackable is 1265178271. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Q: What is Kaitlin Stackable's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Stackable was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 11, 2022PECOS Enrolled

3655 VISTA AVE FL 3, SAINT LOUIS, MO 63110(314) 617-3630(314) 768-6614 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2025, Jun 16, 2025, May 11, 2022 (3 updates tracked since 2022).

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About Kaitlin Stackable Do NPPES

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

KAITLIN STACKABLE DO (NPI 1265178271) is an individual hematology & oncology provider in Saint Louis, Missouri, licensed in Missouri (2025020535) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265178271

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameKAITLIN STACKABLECredential: DO

Location Address3655 VISTA AVE FL 3Saint Louis, MO 63110-2539

Mailing Address3655 Vista Ave Fl 3Saint Louis, MO 63110-2539 · (314) 617-3630 · Fax (314) 768-6614

Phone(314) 617-3630

Fax(314) 768-6614

Sole ProprietorNo

Enumeration DateMay 11, 2022

Last NPPES UpdateJuly 12, 20253 updates tracked since enumeration

NPPES CertifiedJuly 12, 2025

✔ NPI 1265178271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in MO · 2025020535

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3655 VISTA AVE FL 3, Saint Louis, MO 63110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Stackable Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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

$169.38 typical visit price

range $55.65 – $169.38

Typical copayment $42.34 (range $13.91 – $42.34)

Most-billed visit code 99205

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 2

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

DR. SABOOR EJAZ RANDHAWA MBBS

Internal Medicine (Hematology & Oncology)

3655 VISTA AVE FL 3
SAINT LOUIS, MO 63110

St. Louis City (314) 617-3624

DR. MAHTA SALEHI MD

Internal Medicine (Hematology & Oncology)

3655 VISTA AVE FL 3
SAINT LOUIS, MO 63110

St. Louis City (314) 617-3630

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 Kaitlin Stackable's NPI number?

The NPI number for Kaitlin Stackable is 1265178271. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Where is Kaitlin Stackable located?

Kaitlin Stackable practices at 3655 Vista Ave Fl 3, Saint Louis, MO 63110. The listed phone number is (314) 617-3630.

What is Kaitlin Stackable's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kaitlin Stackable enrolled in Medicare?

Yes. Kaitlin Stackable is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin Stackable was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.