Active NPI
Stephanie Saldarriaga, MD
- Pediatrics Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME158288
- Practice address
- 17 Davis Blvd
Tampa, FL 33606-3475 - Phone
- (813) 821-8038
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 63170 | TN | |
| Pediatrics Physician | 208000000X | ME158288 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
17 Davis Blvd
Tampa, FL 33606-3475
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
12871 Citrus Plaza Dr
Tampa, FL 33625-3010
Phone (813) 471-4445
Other practice location 2
590 Benzing Rd
Antioch, TN 37013-4139
Phone (615) 988-2340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116588400 | Medicaid | FL | |
| QS4K3 | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssaldarriaga367456@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Pediatric Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12901 Bruce B Downs Blvd
Suite 62
Tampa, FL 33612-4799
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME158288 | FL | MD | Pediatrics Physician |
| 63170 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Nashville Pediatric Providers, LLC | Past | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
17 Davis Blvd
Tampa, FL 33606
Phone (813) 250-2506
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 6
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.
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- General Acute Care Hospital
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- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
-
dba Academy Children's Clinic
- Pediatric Nurse Practitioner
- Nashville, TN
- NPI 1992144380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1063900959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063475",
"telephone_number": "813-821-8038"
}
],
"practiceLocations": [
{
"address_1": "12871 Citrus Plaza Dr",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336253010",
"country_code": "US",
"telephone_number": "813-471-4445",
"fax_number": "813-343-5022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "590 Benzing Rd",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "TN",
"postal_code": "370134139",
"country_code": "US",
"telephone_number": "615-988-2340",
"fax_number": "615-988-2643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALDARRIAGA",
"first_name": "STEPHANIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "63170",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME158288",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116588400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "QS4K3",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssaldarriaga367456@direct.tgh.org",
"affiliation": "N",
"address_1": "17 Davis Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.