Individual provider Active NPI

Stephen Lansing Pedron, M.D.

  • Maternal & Fetal Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1003867425
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD-45543 Issued in IA
Practice address
855 A Ave NE Ste 120
Cedar Rapids, IA 52402
Phone
(319) 297-9350
Fax
(319) 297-9349
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MD-45543 IA Primary

Addresses

Primary practice location

855 A Ave NE Ste 120
Cedar Rapids, IA 52402

Mailing address

855 A Ave NE Ste 120
Cedar Rapids, IA 52402-5062
Phone (319) 297-9350

Other identifiers 1

IdentifierTypeStateIssuer
MD-45543OtherIAIOWA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914001737 IA Practitioner - Obstetrics/Gynecology 6709170525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

855 A Ave NE
Suite 120
Cedar Rapids, IA 52402-5062
Phone (319) 297-9350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-45543IAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Sep 17, 2018 Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Obstetrix Medical Group of Arizona, P.C. Maternal & Fetal Medicine Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

855 A Ave NE
Ste 120
Cedar Rapids, IA 52402
Phone (319) 297-9350

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Interoperability endpoints

  • Direct secure messaging: spedron638508@direct.unitypoint.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1003867425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 120",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025062",
            "telephone_number": "319-297-9350",
            "fax_number": "319-297-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 120",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-297-9350",
            "fax_number": "319-297-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRON",
        "first_name": "STEPHEN",
        "middle_name": "LANSING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IA",
            "license": "MD-45543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MEDICAL LICENSE",
            "identifier": "MD-45543",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.