STACEY MICHELLE KALLEM MD
NPI 1649618190
Pediatrics in Philadelphia, PA
About Stacey Michelle Kallem Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY MICHELLE KALLEM MD (NPI 1649618190) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD457727) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Michelle Kallem Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Kallem's NPI number?
The NPI number for Stacey Kallem is 1649618190. It was assigned to this individual provider in the NPPES registry on June 6, 2013.
Where is Stacey Kallem located?
Stacey Kallem practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5985.
What is Stacey Kallem's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Stacey Kallem enrolled in Medicare?
Yes. Stacey Kallem is registered in the Medicare PECOS enrollment system.
What insurance does Stacey Kallem accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Stacey Kallem 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 Kallem was last updated on November 12, 2025. 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.
# Stacey Michelle Kallem, MD · NPI 1649618190
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 6, 2013.
## Identity
- **NPI:** 1649618190 (Entity type: Individual)
- **Enumerated:** June 6, 2013
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD457727 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (215) 427-5985
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649618190) · Data from the CMS NPPES public registry.