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DR. STEFANI STEVANIJA TICA MD
NPI 1598285165
Pediatrics - Pediatric Gastroenterology in Saint Louis, MO

Active since June 23, 2017PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS PL, DIV PED GASTRO, HEPATOLOGY AND NUTRITION, SAINT LOUIS, MO 63110(314) 454-6173(844) 231-8912 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 29, 2026, Jun 28, 2024, Jun 23, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Stefani Stevanija Tica Md NPPES

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

DR. STEFANI STEVANIJA TICA MD (NPI 1598285165) is an individual pediatric gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2020013471) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1598285165
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. STEFANI STEVANIJA TICACredential: MD
Location Address1 CHILDRENS PL, DIV PED GASTRO, HEPATOLOGY AND NUTRITIONSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-6173 · Fax (844) 231-8912
Phone(314) 454-6173
Fax(844) 231-8912
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2017
Enumeration DateJune 23, 2017
Last NPPES UpdateMay 29, 20266 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1598285165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in MO · 2020013471
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 2020013471 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid200061929MO

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. Stefani Stevanija Tica 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 ID3476975301
PECOS Enrollment IDI20200623002939
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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. MARIA ISABEL PEREZ- CANDAL MD
Pediatrics
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2076
MR. DAVID R HAWSE RPH
Pharmacist
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6123
MRS. MELISSA JEAN EPPS RPA
Pharmacist
1 CHILDRENS PL, ST LOUIS CHILDREN OUT PATIENT PHARMACY
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6123
MRS. MARIE LYNN HERLING RPH
Pharmacist
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6123
DR. ISABELLA I MUKHERJI MD
Anesthesiology
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6215
DR. VICTOR D PEGADO MD
Ophthalmology
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6026
DR. SORAYA NOURI-MOGHADDAM MD
Pediatrics (Pediatric Cardiology)
1 CHILDRENS PL, SUITE 5S30
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6095
DR. IRENE TEKWOR OPAI TETTEH MD
Anesthesiology
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6215

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 Stefani Tica's NPI number?

The NPI number for Stefani Tica is 1598285165. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Stefani Tica located?

Stefani Tica practices at 1 Childrens Pl Div Ped Gastro, Hepatology And Nutrition, Saint Louis, MO 63110. The listed phone number is (314) 454-6173.

What is Stefani Tica's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Stefani Tica enrolled in Medicare?

Yes. Stefani Tica 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.

When was this NPI record last updated?

The NPPES record for Stefani Tica was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.