DR. ROBERT L. STAVIS MD
NPI 1336224427
Pediatrics - Neonatal-Perinatal Medicine in Minneapolis, MN

Q: What is Robert Stavis's NPI number?

The NPI number for Robert Stavis is 1336224427. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Robert Stavis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Robert Stavis was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 26, 2006PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6000 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2020, Sep 20, 2017 (2 updates tracked since 2017).

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About Dr. Robert L. Stavis Md NPPES

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

DR. ROBERT L. STAVIS MD (NPI 1336224427) is an individual neonatal-perinatal medicine provider in Minneapolis, Minnesota, licensed in Pennsylvania (MD025087E) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336224427

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. ROBERT L. STAVISCredential: MD

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518 · (612) 813-6000

Phone(612) 813-6000

Sole ProprietorNo

Enumeration DateOctober 26, 2006

Last NPPES UpdateJanuary 29, 20202 updates tracked since enumeration

✔ NPI 1336224427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in PA · MD025087E

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

2525 CHICAGO AVE, Minneapolis, MN 55404

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Other Identifiers 4

Medicaid64068554KY

Medicaid5307309NJ

Medicaid1312103MD

Medicaid000951742PA

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. Robert L. Stavis Md 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.

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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.

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