STACY MAREE DORADO PA-C
NPI 1013419464
Physician Assistant - Surgical in Miami Beach, FL

Active since March 01, 2018PECOS EnrolledAccepts Medicare Assignment
4308 ALTON RD STE 610, MIAMI BEACH, FL 33140(305) 423-3939 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 28, 2025, Mar 1, 2018 (2 updates tracked since 2018).

About Stacy Maree Dorado Pa-c NPPES

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

STACY MAREE DORADO PA-C (NPI 1013419464) is an individual surgical provider in Miami Beach, Florida, licensed in Florida (PA9111072) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains a secondary practice location in Murray.

NPPES Registry Identity

NPI1013419464
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSTACY MAREE DORADOCredential: PA-C
Location Address4308 ALTON RD STE 610Miami Beach, FL 33140-4559
Mailing Address4308 Alton Rd Ste 610Miami Beach, FL 33140-4559 · (305) 423-3939 · Fax (305) 674-8836
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 1, 2018
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1013419464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in FL · PA9111072✔ Licensed in UT · 13896238-1206
4308 ALTON RD STE 610, Miami Beach, FL 33140

Secondary Practice Location 1

Location 15848 S Fashion BlvdMurray, UT 84107-6157 · Phone (801) 314-4900

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Maree Dorado Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688939994
PECOS Enrollment IDI20250117003777
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

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.

Ophthalmology (Retina Specialist)
4308 ALTON RD STE 610
MIAMI BEACH, FL 33140
Ophthalmology (Retina Specialist)
4308 ALTON RD STE 610
MIAMI BEACH, FL 33140

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 Stacy Dorado's NPI number?

The NPI number for Stacy Dorado is 1013419464. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Stacy Dorado located?

Stacy Dorado practices at 4308 Alton Rd Ste 610, Miami Beach, FL 33140. The listed phone number is (305) 423-3939.

What is Stacy Dorado's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stacy Dorado enrolled in Medicare?

Yes. Stacy Dorado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacy Dorado accept?

Health plans from Select Health list Stacy Dorado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacy Dorado affiliated with any hospitals?

According to CMS data, Stacy Dorado is affiliated with Intermountain Medical Center and Intermountain Health Alta View Hospital.

When was this NPI record last updated?

The NPPES record for Stacy Dorado was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.