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STEPHEN DALBY M.D.
NPI 1295198836
Pediatrics - Pediatric Cardiology in Little Rock, AR

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 CHILDRENS WAY # 512-3, LITTLE ROCK, AR 72202(501) 364-1479(501) 364-3667 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2023, Jun 6, 2023, Mar 31, 2016 (3 updates tracked since 2016).

About Stephen Dalby M.d. NPPES

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

STEPHEN DALBY M.D. (NPI 1295198836) is an individual pediatric cardiology provider in Little Rock, Arkansas, licensed in Arkansas (E-12469) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295198836
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameSTEPHEN DALBYCredential: M.D.
Location Address1 CHILDRENS WAY # 512-3Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-1479
Fax(501) 364-3667
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1295198836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in AR · E-12469
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License E-12469 (AR)
1 CHILDRENS WAY # 512-3, Little Rock, AR 72202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen Dalby M.d. 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 ID9638461577
PECOS Enrollment IDI20230909000162
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 Reassignments

3

Medicare enrollment records show Stephen Dalby reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Hospital
Same address
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526
University Of Arkansas For Medical Sciences
3.2 mi
Family Medicine
1401 W CAPITOL AVE
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1114255353 (Arkansas)
  • 2,038 clinicians in this Medicare group
NPI 1932872975 (501) 686-8000
Arkansas Childrens Professional Services Organization LLC
3.4 mi
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.86
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

JOSHUA A DAILY M.D.
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479
DR. MARKUS STEPHAN RENNO MD, MPH
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
RENEE BORNEMEIER MD
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. RUPAL TANSUKHLAL BHAKTA M.D.
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
BETHANY B JENNINGS CNP
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479
DR. DANIEL J FIEDOREK MD
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479
DR. SAM M LEE M.D.
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479
DR. SHAE ANDERSON MERVES M.D.
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479

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 Stephen Dalby's NPI number?

The NPI number for Stephen Dalby is 1295198836. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Stephen Dalby located?

Stephen Dalby practices at 1 Childrens Way # 512-3, Little Rock, AR 72202. The listed phone number is (501) 364-1479.

What is Stephen Dalby's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Stephen Dalby enrolled in Medicare?

Yes. Stephen Dalby 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.

Which organizations bill Medicare for Stephen Dalby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Dalby reassigns Medicare benefits to 3 organizations: Arkansas Childrens Hospital (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Arkansas Childrens Professional Services Organization LLC (Little Rock, AR). 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 Stephen Dalby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Dalby accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Stephen Dalby 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 Stephen Dalby was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.