1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Pediatrics
  6. NPI Profile

DR. STACEY ELAINE TARVIN M.D.
NPI 1639380769
Pediatrics - Pediatric Rheumatology in Indianapolis, IN

Active since May 24, 2007PECOS Enrolled
699 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-2172(317) 278-3031 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 6, 2026, Nov 19, 2020 (2 updates tracked since 2020).

About Dr. Stacey Elaine Tarvin M.d. NPPES

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

DR. STACEY ELAINE TARVIN M.D. (NPI 1639380769) is an individual pediatric rheumatology provider in Indianapolis, Indiana, licensed in Indiana (01064302) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639380769
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameDR. STACEY ELAINE TARVINCredential: M.D.
Location Address699 RILEY HOSPITAL DRIndianapolis, IN 46202-5119
Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644
Phone(317) 274-2172
Fax(317) 278-3031
Sole ProprietorYes
Enumeration DateMay 24, 2007
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1639380769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in IN · 01064302
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
699 RILEY HOSPITAL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Other Identifiers 1

Medicaid201035650IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Dr. Stacey Elaine Tarvin M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stacey Tarvin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group Riley Specialists, LLC
Same address
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group
NPI 1699561480 (317) 944-5000
University Pediatric Associates, Inc.
Same address
Pediatrics
705 RILEY HOSPITAL DR, RR 127
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1457396541 (317) 777-6435

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

Other Providers at the Same Location NPPES 5

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

DR. BRANDI EASTMAN STEVENS M.D., M.S.C.R.
Pediatrics (Pediatric Rheumatology)
699 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-2172
MICHELLE CASEY STARR MD, MPH
Pediatrics (Pediatric Nephrology)
699 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-2563
RACHAEL LEMONT BSN, RN
Registered Nurse
699 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 278-7815
JESSICA LUCILLE HORAN D.O.
Pediatrics (Neonatal-Perinatal Medicine)
699 RILEY HOSPITAL DR, ROOM RR 208
INDIANAPOLIS, IN 46202
Marion County (317) 274-4715
DR. EMILY MATNEY MD
Student in an Organized Health Care Education/Training Program
699 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 278-4729

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 Stacey Tarvin's NPI number?

The NPI number for Stacey Tarvin is 1639380769. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Stacey Tarvin located?

Stacey Tarvin practices at 699 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 274-2172.

What is Stacey Tarvin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Stacey Tarvin enrolled in Medicare?

Yes. Stacey Tarvin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Tarvin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Tarvin reassigns Medicare benefits to 2 organizations: Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN) and University Pediatric Associates, Inc. (Indianapolis, IN). 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 Stacey Tarvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Tarvin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 1 other insurer list Stacey Tarvin 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 Stacey Tarvin was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.