STIVALY RODRIGUEZ QUEZADA MD
NPI 1215500111
Pediatrics in Methuen, MA
About Stivaly Rodriguez Quezada Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STIVALY RODRIGUEZ QUEZADA MD (NPI 1215500111) is an individual pediatrics provider in Methuen, Massachusetts, licensed in Massachusetts (1014721) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stivaly Rodriguez Quezada Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Stivaly Rodriguez Quezada reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrence, MA 01841
- Reassigned Medicare billing, Massachusetts enrollment
- 143 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 991 clinicians in this Medicare group
Brockton, MA 02301
- Reassigned Medicare billing, Massachusetts enrollment
- 264 clinicians in this Medicare group
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 01844 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stivaly Rodriguez Quezada's NPI number?
The NPI number for Stivaly Rodriguez Quezada is 1215500111. It was assigned to this individual provider in the NPPES registry on July 20, 2021. The provider is also known as Stivaly Rodriguez Quezada MD.
Where is Stivaly Rodriguez Quezada located?
Stivaly Rodriguez Quezada practices at 380R Merrimack St Ste 3B, Methuen, MA 01844. The listed phone number is (978) 687-6355.
What is Stivaly Rodriguez Quezada's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Stivaly Rodriguez Quezada enrolled in Medicare?
Yes. Stivaly Rodriguez Quezada is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stivaly Rodriguez Quezada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stivaly Rodriguez Quezada reassigns Medicare benefits to 3 organizations: Greater Lawrence Family Health Center, Inc. (Lawrence, MA), Steward Medical Group, Inc (Watertown, MA) and Revere Medical Of Massachusetts, PC (Brockton, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stivaly Rodriguez Quezada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stivaly Rodriguez Quezada accept?
Health plans from Anthem Blue Cross and Blue Shield list Stivaly Rodriguez Quezada 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.
When was this NPI record last updated?
The NPPES record for Stivaly Rodriguez Quezada was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Stivaly Rodriguez Quezada, MD · NPI 1215500111
Pediatrics physician in Methuen, Massachusetts. Individual provider, active in the CMS NPPES registry since July 20, 2021.
## Identity
- **NPI:** 1215500111 (Entity type: Individual)
- **Enumerated:** July 20, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 1014721 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 380R MERRIMACK ST STE 3B, Methuen, MA 01844-5884
- **Phone:** (978) 687-6355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Greater Lawrence Family Health Center, Inc. (NPI 1699774646, Lawrence, MA); Steward Medical Group, Inc (NPI 1629398219, Watertown, MA); Revere Medical Of Massachusetts, PC (NPI 1336976539, Brockton, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215500111) · Data from the CMS NPPES public registry.