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LACEY CANTRELL MD
NPI 1821677261
Otolaryngology - Pediatric Otolaryngology in Philadelphia, PA

Active since April 05, 2021PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC OTOLARYNGOLOGY, PHILADELPHIA, PA 19104(215) 590-3440 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Sep 11, 2024, Apr 5, 2021 (3 updates tracked since 2021).

About Lacey Cantrell Md NPPES

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

LACEY CANTRELL MD (NPI 1821677261) is an individual pediatric otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT235892) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821677261
Entity TypeIndividualFemale
Primary Taxonomy207YP0228X
Provider Legal NameLACEY CANTRELLCredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC OTOLARYNGOLOGYPhiladelphia, PA 19104
Mailing AddressCleveland Clinic 9500 Euclid Avenue/na-23Cleveland, OH 44195-0001 · (216) 444-2200
Phone(215) 590-3440
Sole ProprietorYes
Enumeration DateApril 5, 2021
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1821677261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in PA · MT235892
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Cantrell 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.

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Lacey Cantrell's NPI number?

The NPI number for Lacey Cantrell is 1821677261. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Lacey Cantrell located?

Lacey Cantrell practices at 3401 Civic Center Blvd Division Of Pediatric Otolaryngology, Philadelphia, PA 19104. The listed phone number is (215) 590-3440.

What is Lacey Cantrell's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Lacey Cantrell enrolled in Medicare?

Yes. Lacey Cantrell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lacey Cantrell was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.