Stacey Kallem, MD
NPI 1649618190 · Pediatrics Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Kallem, MD is a Pediatrics Physician provider in Philadelphia, PA (NPI 1649618190).
Provider details
- NPI number
- 1649618190
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD457727 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4701 Sangamore Rd Ste N100Bethesda, MD 20816-2558Phone: (914) 919-9200
- 4625 Lindell Blvd Fl 2Saint Louis, MO 63108-3739Phone: (914) 919-9200
Registry dates
- Enumerated
- 2013-06-06
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Frequently asked questions
- What is Stacey Kallem's NPI number?
- Stacey Kallem's National Provider Identifier (NPI) is 1649618190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Kallem's specialty?
- Stacey Kallem is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Stacey Kallem located?
- Stacey Kallem's practice location on file with NPPES is 160 E Erie Ave, Philadelphia, PA 19134-1011.
- What is Stacey Kallem's phone number?
- The practice phone number listed in the NPPES registry for Stacey Kallem is (215) 427-5985.
- Does Stacey Kallem accept Medicare?
- Stacey Kallem is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Kallem's NPI active?
- Yes — Stacey Kallem's NPI (1649618190) is active in the NPPES registry as of the last update on 2025-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.