Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth P Stahl, MD

Individual provider Surgery Physician · NPI 1043460488

Kenneth P Stahl, MD is a General Surgery in Miami, Florida. Graduated from New York University School of Medicine in 1979, 47 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
47
Trained at
New York University School of Medicine
Licensed in
FL
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 NW 12th Ave Box 016960
Miami, FL 33136-1005
Phone: (305) 585-1288
Fax: (305) 585-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence ME79521 (FL)
Surgery Physician Taxonomy 208600000X · Licence ME79521 (FL)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence ME79521 (FL)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence ME79521 (FL)

Record details

NPI number1043460488
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2008
Last updated in NPPESOctober 26, 2016
Mailing address1611 Nw 12th Ave, Box 016960, Miami, FL 33136-1005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCARDIAC SURGERY, THORACIC SURGERY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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