Stefan A Prada, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME100555 Issued in FL

Practice address

8902 N Dale Mabry Hwy Ste 104
Tampa, FL 33614-1579

Phone

(833) 367-4968

Fax

(833) 367-4968

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• 360 Ortho and Spine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Tampa, FL
  • NPI 1972062685
  NPD
• Laser Spine Institute of Arizona, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1174778484

  Single Specialty

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1962452649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N DALE MABRY HWY STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141579",
            "telephone_number": "833-367-4968",
            "fax_number": "833-367-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N DALE MABRY HWY STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141579",
            "telephone_number": "833-367-4968",
            "fax_number": "833-367-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADA",
        "first_name": "STEFAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME100555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakthi Samyuktha Prabakaran, BDS
• Arthi Prabhakar
• Gayle Cordelia Prabhakaran
• John Desaraj Prabhakarian
• Practical Rehab LLC
• Greisy Pradas Sobrino
• Bindu Pradeep
• Neeti Pradeep, M.D.
• Nisha Pradeep
• Cristina Zobeida Prades, PHARM.D.

• Orthopaedic Surgery of the Spine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.