DR. STEPHANIE WILKS PERDUE M.D.
NPI 1073647442
Pediatrics - Adolescent Medicine in Laurel, MD
NPI Status: Active since March 15, 2007
Contact Information
9811 MALLARD DR
SUITE 109
LAUREL, MD
ZIP 20708
Phone: (301) 776-8000
Fax: (301) 776-6753
- Individual
- Female
- Pediatrics
- Adolescent Medicine
- PECOS Enrolled
About STEPHANIE PERDUE
This page provides the complete NPI Profile along with additional information for Stephanie Perdue, a pediatrician established in Laurel, Maryland with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1073647442 assigned on March 2007. The practitioner's primary taxonomy code is 2080A0000X with license number D0073561 (MD). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1073647442
- Provider Name
- DR. STEPHANIE WILKS PERDUE M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9811 MALLARD DR SUITE 109 LAUREL, MD 20708
- Location Phone
- (301) 776-8000
- Location Fax
- (301) 776-6753
- Mailing Address
- 9811 MALLARD DR SUITE 109 LAUREL, MD 20708
- Mailing Phone
- (301) 776-8000
- Mailing Fax
- (301) 776-6753
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-15-2007
- Last Update Date
- 06-07-2013
- Code Navigator
A pediatrician like Stephanie Perdue is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0073561
- License State
- MD
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 063563400 | MEDICAID (05) | MD |
Medicare Participation & PECOS Enrollment Status
Stephanie Perdue is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. STEPHANIE WILKS PERDUE M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 6 | 4 | 7 | 4 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 12 | 4 | 14 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 2 + 4 + 1 + 4 + 4 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1073647442 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477533230 | SWAPNA ABHYANKAR M.D. Individual | Specialist | 9811 MALLARD DR SUITE 109 LAUREL, MD 20708 (301) 776-8000 |
| 1952381436 | NANCY MILLS R.N., C.P.N.P. Individual | Registered Nurse (Pediatrics) | 9811 MALLARD DR SUITE 109 LAUREL, MD 20708 (301) 776-8000 |
| 1679544175 | DR. JOSEPH THOMAS M.D. Individual | Allergy & Immunology | 9811 MALLARD DR SUITE NO.114 LAUREL, MD 20708 (301) 776-1636 |
| 1497700470 | JACQUELINE E SOMERVILLE LCPC Individual | Counselor (Professional) | 9811 MALLARD DR 219 LAUREL, MD 20708 (301) 266-3960 |
| 1174532311 | WENDY WOODS DPM Individual | Podiatrist (Foot Surgery) | 9811 MALLARD DR 118-119 LAUREL, MD 20708 (301) 497-9490 |
| 1598859019 | DR. RUFUS ROSSER JR. M.D. Individual | Obstetrics & Gynecology | 9811 MALLARD DR SUITE 115 LAUREL, MD 20708 (301) 498-2103 |
| 1104901602 | DR. DAVID DURAIRAJ KOILPILLAI DDS Individual | Dentist | 9811 MALLARD DR SUITE 207 LAUREL, MD 20708 (301) 604-0025 |
| 1073683025 | JILL BANGERT LCSWC Individual | Social Worker (Clinical) | 9811 MALLARD DR SUITE 209 LAUREL, MD 20708 (301) 776-9492 |
| 1124190996 | DR. NEIL A MEADE M.D. Individual | Family Medicine | 9811 MALLARD DR SUITE 205 LAUREL, MD 20708 (301) 953-1020 |
| 1508933698 | DR. PEARL ELIZABETH PFUHL PH.D. Individual | Counselor (Mental Health) | 9811 MALLARD DR SUITE 219 LAUREL, MD 20708 (301) 497-9930 |
| 1205979903 | DR. MARTHA JANE HORN PH.D. Individual | Counselor (Professional) | 9811 MALLARD DR SUITE 211 LAUREL, MD 20708 (301) 776-8554 |
| 1982878997 | KARENGA R LEMMONS, M.D., L.L.C. Organization | Specialist | 9811 MALLARD DR STE 211 LAUREL, MD 20708 (301) 497-9490 |
| 1477886802 | STEPHEN R. DAMM, M.D., P.A. Organization | Dermatology | 9811 MALLARD DR SUITE 220 LAUREL, MD 20708 (301) 776-2818 |
| 1942239876 | PRIMARY PEDIATRICS Organization | Pediatrics | 9811 MALLARD DR SUITE 109 LAUREL, MD 20708 (301) 776-8000 |
| 1134461940 | AGAS MEDICAL GROUP, LLC Organization | General Practice | 9811 MALLARD DR SUITE # 213 LAUREL, MD 20708 (301) 604-0562 |
| 1336259894 | DR. EUPHEMIA R BRUMSKINE MD Individual | Family Medicine | 9811 MALLARD DR SUITE 118 LAUREL, MD 20708 (301) 497-9490 |
| 1376823823 | THERAPY @ 9811 INC Organization | Counselor | 9811 MALLARD DR SUITE 210/211 LAUREL, MD 20708 (301) 525-3205 |
| 1417377748 | SHANNON M HAWK D.C. Individual | Chiropractor | 9811 MALLARD DR STE 218 LAUREL, MD 20708 (301) 953-0256 |
| 1851772032 | AUGUSTUS C. DICKENS Organization | Counselor (Mental Health) | 9811 MALLARD DR LAUREL, MD 20708 (301) 257-1430 |
| 1629334867 | EMILY CATHERINE SKODA-MOUNT MD Individual | Pediatrics | 9811 MALLARD DR SUITE # 109 LAUREL, MD 20708 (301) 776-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073647442, enumerated in the NPI registry as an "individual" on March 15, 2007
The provider is located at 9811 Mallard Dr Suite 109 Laurel, Md 20708 and the phone number is (301) 776-8000
The provider's speciality is Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.