Active NPI
Stephen Lansing Pedron, M.D.
- Maternal & Fetal Medicine Physician
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD-45543
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD-45543 | Other | IA | IOWA 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD-45543 | IA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | 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
- 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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Specialist
- Scottsdale, AZ
- NPI 1801822119
-
- Maternal & Fetal Medicine Physician
- Tucson, AZ
- NPI 1316961022
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.