Stivaly Rodriguez Quezada, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1014721 Issued in MA

Practice address

380R Merrimack St Ste 3B
Methuen, MA 01844-5884

Phone

(978) 687-6355

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stivaly Rodriguez Quezada Professional name

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stivaly.rodriguez.1@32866.direct.athenahealth.com

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.

• Revere Medical of Massachusetts, PC

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1336976539
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• Greater Lawrence Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lawrence, MA
  • NPI 1699774646
  Medicare reassignment NPD (past)
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• LG Newcorp Inc

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1215500111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST STE 3B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445884",
            "telephone_number": "978-687-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST STE 3B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445884",
            "telephone_number": "978-687-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ QUEZADA",
        "first_name": "STIVALY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "1014721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STIVALY",
            "last_name": "RODRIGUEZ QUEZADA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Blair Cooke Roberts, MD
• Cynthia Burns Robertson, FNP
• Meghan Anne Roche, M.ED.
• William Joseph Roche Jr.
• Anne Rodman, APRN
• Ana Melissa Rodriguez, RN
• Denise Rodriguez
• Kaisha Rodriguez
• Angela Nicolosi Roeger
• John Rogers

• Pediatrics Physician in Methuen, MA
• Providers in Methuen, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.