STEPHANIE LAUREN GONZALES
NPI 1083104418
Pediatrics - Pediatric Endocrinology in Philadelphia, PA

Q: What is Stephanie Gonzales's NPI number?

The NPI number for Stephanie Gonzales is 1083104418. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Q: What is Stephanie Gonzales's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Active since May 10, 2018PECOS Enrolled

3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(267) 391-8776 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, Apr 24, 2020, May 10, 2018 (3 updates tracked since 2018).

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About Stephanie Lauren Gonzales NPPES

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

STEPHANIE LAUREN GONZALES (NPI 1083104418) is an individual pediatric endocrinology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021489) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083104418

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameSTEPHANIE LAUREN GONZALES

Location Address3500 CIVIC CENTER BLVDPhiladelphia, PA 19104-4395

Mailing Address28 Thompson Mill RdNewtown, PA 18940-9628 · (267) 391-8776

Phone(267) 391-8776

Sole ProprietorNo

Enumeration DateMay 10, 2018

Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1083104418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in PA · SP021489

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

3500 CIVIC CENTER BLVD, Philadelphia, PA 19104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Lauren Gonzales 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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Health Care Associates, Inc

Same address

Pediatric Dermatology

3500 CIVIC CENTER BLVD FL 6
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
1,225 clinicians in this Medicare group

NPI 1073608006 (215) 590-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. REBECCA M HAMMONDS PH.D.

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