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DR. SUSAN STABA KELLY MD
NPI 1235170242
Pediatrics - Pediatric Hematology-Oncology in Orlando, FL

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
2501 N ORANGE AVE, SUITE 589, ORLANDO, FL 32804(407) 303-1300(407) 303-1301 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 29, 2017, Nov 14, 2016, Sep 14, 2016 (3 updates tracked since 2016).

About Dr. Susan Staba Kelly Md NPPES

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

DR. SUSAN STABA KELLY MD (NPI 1235170242) is an individual pediatric hematology-oncology provider in Orlando, Florida, licensed in Florida (ME79161) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1997).

NPPES Registry Identity

NPI1235170242
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. SUSAN STABA KELLYCredential: MD
Location Address2501 N ORANGE AVE, SUITE 589Orlando, FL 32804-4603
Mailing Address2501 N Orange Ave, Suite 589Orlando, FL 32804-4603 · (407) 303-1300 · Fax (407) 303-1301
Phone(407) 303-1300
Fax(407) 303-1301
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1997
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 29, 20173 updates tracked since enumeration
✔ NPI 1235170242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in FL · ME79161✔ Licensed in TX · M8760
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
2501 N ORANGE AVE, Orlando, FL 32804
Open in Google Maps ↗

Other Names 1

Former Name (1)Susan Lynn Staba

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

Dr. Susan Staba Kelly Md 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 ID6507843703
PECOS Enrollment IDI20040706000995
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.

NIHAL IJAZ KHAN MD
Internal Medicine
2501 N ORANGE AVE
ORLANDO, FL 32804
Orange County (407) 303-1812
DR. FRANK CORSON RIGGALL M.D.
Specialist
2501 N ORANGE AVE, SUITE 209
ORLANDO, FL 32804
Orange County (407) 898-0254
MR. RAUL NOEL CORREA BPHARM
Pharmacist
2501 N ORANGE AVE
ORLANDO, FL 32804
Orange County (407) 303-2559
HEMATOLOGY & ONCOLOGY CONSULTANTS
Internal Medicine (Hematology & Oncology)
2501 N ORANGE AVE, SUITE 381
ORLANDO, FL 32804
Orange County (407) 898-5452
TRAUMA PHYSICIANS SERVICE INC
Orthopaedic Surgery (Orthopaedic Trauma)
2501 N ORANGE AVE, SUITE 340
ORLANDO, FL 32804
Orange County (407) 895-3384
ADVANCED WOMEN'S UROLOGY AND GYNECOLOGY, PLLC
Non-Pharmacy Dispensing Site
2501 N ORANGE AVE, SUITE 210
ORLANDO, FL 32804
Orange County (407) 898-9804
DR. MICHAEL RICHARD STONE DO
Internal Medicine (Hospice and Palliative Medicine)
2501 N ORANGE AVE
ORLANDO, FL 32804
Orange County (407) 303-2906
MITCHELL J FREED MD PL
Physical Medicine & Rehabilitation
2501 N ORANGE AVE, SUITE 505
ORLANDO, FL 32804
Orange County (407) 898-2924

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 Susan Kelly's NPI number?

The NPI number for Susan Kelly is 1235170242. It was assigned to this individual provider in the NPPES registry on June 9, 2006. The provider is also known as Susan Lynn Staba.

Where is Susan Kelly located?

Susan Kelly practices at 2501 N Orange Ave Suite 589, Orlando, FL 32804. The listed phone number is (407) 303-1300.

What is Susan Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Susan Kelly enrolled in Medicare?

Yes. Susan Kelly 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 Susan Kelly accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Susan Kelly 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 Susan Kelly was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.