DR. STEFAN A PRADA MD
NPI 1962452649
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Tampa, FL

Active since May 11, 2006Opted out of Medicare · through Oct 1, 2027
8902 N DALE MABRY HWY STE 104, TAMPA, FL 33614(833) 367-4968(833) 367-4968 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2026, Jul 26, 2019 (2 updates tracked since 2019).

About Dr. Stefan A Prada Md NPPES

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

DR. STEFAN A PRADA MD (NPI 1962452649) is an individual orthopaedic surgery of the spine provider in Tampa, Florida, licensed in Florida (ME100555) and active in the NPI registry since May 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962452649
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. STEFAN A PRADACredential: MD
Location Address8902 N DALE MABRY HWY STE 104Tampa, FL 33614-1579
Mailing Address8902 N Dale Mabry Hwy Ste 104Tampa, FL 33614-1579 · (833) 367-4968 · Fax (833) 367-4968
Fax(833) 367-4968
Sole ProprietorYes
Enumeration DateMay 11, 2006
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1962452649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in FL · ME100555
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

8902 N DALE MABRY HWY STE 104, Tampa, FL 33614

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Stefan A Prada Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
8902 N DALE MABRY HWY STE 104
TAMPA, FL 33614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962452649, enumerated as an "individual" on May 11, 2006.

The provider is located at 8902 N DALE MABRY HWY STE 104 TAMPA, FL 33614 and the phone number is (833) 367-4968.

Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.