DR. STEPHANIE WILKS PERDUE M.D.
NPI 1073647442
Pediatrics - Adolescent Medicine in Laurel, MD

Q: What is Stephanie Perdue's NPI number?

The NPI number for Stephanie Perdue is 1073647442. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Stephanie Perdue's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Perdue was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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 March 15, 2007PECOS Enrolled

9811 MALLARD DR, SUITE 109, LAUREL, MD 20708(301) 776-8000(301) 776-6753 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Stephanie Wilks Perdue M.d. NPPES

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

DR. STEPHANIE WILKS PERDUE M.D. (NPI 1073647442) is an individual adolescent medicine provider in Laurel, Maryland, licensed in Maryland (D0073561) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073647442

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. STEPHANIE WILKS PERDUECredential: M.D.

Location Address9811 MALLARD DR, SUITE 109Laurel, MD 20708-3143

Mailing Address9811 Mallard Dr, Suite 109Laurel, MD 20708-3143 · (301) 776-8000 · Fax (301) 776-6753

Phone(301) 776-8000

Fax(301) 776-6753

Sole ProprietorNo

Enumeration DateMarch 15, 2007

Last NPPES UpdateJune 7, 2013

✔ NPI 1073647442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in MD · D0073561

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

9811 MALLARD DR, Laurel, MD 20708

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Other Identifiers 1

Medicaid063563400MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Wilks Perdue M.d. 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.

Other Providers at the Same Location NPPES 20

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

JILL BANGERT LCSWC

Social Worker (Clinical)

9811 MALLARD DR, SUITE 209
LAUREL, MD 20708

Prince George's County (301) 776-9492

DR. DAVID DURAIRAJ KOILPILLAI DDS

Dentist

9811 MALLARD DR, SUITE 207
LAUREL, MD 20708

Prince George's County (301) 604-0025

DR. MEI-LIN LU M.D.

Pediatrics

9811 MALLARD DR, SUITE 109
LAUREL, MD 20708

Prince George's County (301) 776-8000

DR. NEIL A MEADE M.D.

Family Medicine

9811 MALLARD DR, SUITE 205
LAUREL, MD 20708

Prince George's County (301) 953-1020

AGAS MEDICAL GROUP, LLC

General Practice

9811 MALLARD DR, SUITE # 213
LAUREL, MD 20708

Prince George's County (301) 604-0562

WENDY WOODS DPM

Podiatrist (Foot Surgery)

9811 MALLARD DR, 118-119
LAUREL, MD 20708

Prince George's County (301) 497-9490

DR. MARTHA JANE HORN PH.D.

Counselor (Professional)

9811 MALLARD DR, SUITE 211
LAUREL, MD 20708

Prince George's County (301) 776-8554

DR. LOUIS BLAND M.D.

Pediatrics

9811 MALLARD DR, SUITE 109
LAUREL, MD 20708

Prince George's County (301) 776-8000

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 Stephanie Perdue's NPI number?

The NPI number for Stephanie Perdue is 1073647442. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Stephanie Perdue located?

Stephanie Perdue practices at 9811 Mallard Dr Suite 109, Laurel, MD 20708. The listed phone number is (301) 776-8000.

What is Stephanie Perdue's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Stephanie Perdue enrolled in Medicare?

Yes. Stephanie Perdue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Perdue was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.