Stall Senior Medical LLC
NPI 1104087915 · Geriatric Medicine (Internal Medicine) Physician · Getzville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stall Senior Medical LLC is a Geriatric Medicine (Internal Medicine) Physician organization in Getzville, NY (NPI 1104087915).
Provider details
- NPI number
- 1104087915
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Stall, Owner/Ceo(716) 861-1312
- License
- 163872 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-24
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Frequently asked questions
- What is Stall Senior Medical LLC's NPI number?
- Stall Senior Medical LLC's National Provider Identifier (NPI) is 1104087915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stall Senior Medical LLC?
- Stall Senior Medical LLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Stall Senior Medical LLC located?
- Stall Senior Medical LLC's practice location on file with NPPES is 97 King Anthony Way, Getzville, NY 14068-1413.
- What is Stall Senior Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Stall Senior Medical LLC is (716) 861-1312.
- Does Stall Senior Medical LLC accept Medicare?
- Stall Senior Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stall Senior Medical LLC?
- The authorized official listed on Stall Senior Medical LLC's NPPES record is Robert Stall, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stall Senior Medical LLC's NPI active?
- Yes — Stall Senior Medical LLC's NPI (1104087915) is active in the NPPES registry as of the last update on 2026-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.