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STACEY MICHELLE KALLEM MD
NPI 1649618190
Pediatrics in Philadelphia, PA

Active since June 06, 2013PECOS Enrolled
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5985 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2025, Mar 21, 2023, Feb 7, 2023 (3 updates tracked since 2023).

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

NPI1649618190
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTACEY MICHELLE KALLEMCredential: MD
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(215) 427-5985
Sole ProprietorNo
Enumeration DateJune 6, 2013
Last NPPES UpdateNovember 12, 20253 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1649618190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD457727
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
160 E ERIE AVE, Philadelphia, PA 19134
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Secondary Practice Locations 2

Location 14625 Lindell Blvd Fl 2Saint Louis, MO 63108-3739 · Phone (914) 919-9200
Location 24701 Sangamore Rd Ste N100Bethesda, MD 20816-2558 · Phone (914) 919-9200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Michelle Kallem 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.

Medicare Billing Reassignments

2

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

Stc Pediatrics LLC
Same address
Pediatric Allergy/Immunology
160 E ERIE AVE
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1003450420 (215) 427-5284
Childrens Health Care Associates, Inc
5.4 mi
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000

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

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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

GEOFFREY LIBARNES BAJWA MD
Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
STC PEDIATRICS LLC
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5284
JOANNA OVERTON DO
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
MS. NEHA BUTT MBBS
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Philadelphia County (923) 333-1317
CHRISTOPHER HAINES D.O.
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5369
DR. FRASER HUNTINGTON BROWN M.D.
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-3725
NORRELL KRISTIN ATKINSON MD
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
VICTORIA NICOLE HUDSON CRNP-PC
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5985

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.

Which organizations bill Medicare for Stacey Kallem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Kallem reassigns Medicare benefits to 2 organizations: Stc Pediatrics LLC (Philadelphia, PA) and Childrens Health Care Associates, Inc (Philadelphia, PA). 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 Kallem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 11 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.