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

Richard Brian Stall Jr., CAA

Individual provider Anesthesiologist Assistant · NPI 1487102356

Richard Brian Stall Jr., CAA is an Anesthesiology Assistant in Indianapolis, Indiana. Graduated from Nova Southeastern College of Osteo Medicine in 2016, 10 years ago. Practices with Rutland Hospital, Inc, a 186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
IN
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone: (317) 962-8880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 Whittington Pkwy, Louisville, KY 40222-4928 — (502) 625-5584

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 75000005A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 75000005A (IN)

Record details

NPI number1487102356
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2016 (10 years in practice)
Group practice Rutland Hospital, Inc. — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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