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STACIE B PEDDY M.D.
NPI 1700805090
Pediatrics - Pediatric Critical Care Medicine in Miami, FL

Active since July 18, 2006PECOS Enrolled
3100 SW 62ND AVE, MIAMI, FL 33155(305) 666-6511 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Oct 19, 2021 (2 updates tracked since 2021).

About Stacie B Peddy M.d. NPPES

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

STACIE B PEDDY M.D. (NPI 1700805090) is an individual pediatric critical care medicine provider in Miami, Florida, licensed in Florida (ME167338) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700805090
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameSTACIE B PEDDYCredential: M.D.
Location Address3100 SW 62ND AVEMiami, FL 33155-3009
Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009 · (305) 666-6511
Phone(305) 666-6511
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1700805090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in FL · ME167338✔ Licensed in PA · MD426570✔ Licensed in MD · D92544
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License MD426570 (PA)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MD426570 (PA)
3100 SW 62ND AVE, Miami, FL 33155
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Other Identifiers 4

Medicaid101470283PA
Other242289EMDPA · Medicare Ptan
Medicaid0092967NJ
Medicaid659065900MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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)

Stacie B Peddy 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.

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.

PATRICE NEIL PA-C
Physician Assistant (Medical)
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 666-6511
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Pediatrics (Pediatric Cardiology)
3100 SW 62ND AVE, 2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
MIAMI, FL 33155
Miami-Dade County (786) 624-5876
LUCILA SERVITJE AZCARRAGA MD
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
DR. YELENA SLOBODSCOY IGNATOV BSC, MD
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
SIVANESAN SIVAGNANA GANESAN
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (786) 624-2855
HIMANSHU MEENA
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
DR. TERESITA FOX M.D.
Pediatrics
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (561) 624-9188
MRS. ERIN HERNANDEZ CPNP
Nurse Practitioner (Pediatrics)
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 662-8357

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 Stacie Peddy's NPI number?

The NPI number for Stacie Peddy is 1700805090. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Stacie Peddy located?

Stacie Peddy practices at 3100 SW 62nd Ave, Miami, FL 33155. The listed phone number is (305) 666-6511.

What is Stacie Peddy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Stacie Peddy enrolled in Medicare?

Yes. Stacie Peddy is registered in the Medicare PECOS enrollment system.

What insurance does Stacie Peddy accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Stacie Peddy 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 Stacie Peddy was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.