DR. SUSAN STABA KELLY MD
NPI 1235170242
Pediatrics - Pediatric Hematology-Oncology in Orlando, FL
NPI Status: Active since June 09, 2006
Contact Information
2501 N ORANGE AVE
SUITE 589
ORLANDO, FL
ZIP 32804
Phone: (407) 303-1300
Fax: (407) 303-1301
- Individual
- Female
- Pediatrics
- Pediatric Hematology-Oncology
- Accepts Insurance
- PECOS Enrolled
About SUSAN KELLY
This page provides the complete NPI Profile along with additional information for Susan Kelly, a pediatrician established in Orlando, Florida with a medical specialization in Pediatrics, focusing in pediatric hematology-oncology . The healthcare provider is registered in the NPI registry with number 1235170242 assigned on June 2006. The practitioner's primary taxonomy code is 2080P0207X with license number ME79161 (FL). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1235170242
- Provider Name
- DR. SUSAN STABA KELLY MD
- Other Name
- SUSAN LYNN STABA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2501 N ORANGE AVE SUITE 589 ORLANDO, FL 32804
- Location Phone
- (407) 303-1300
- Location Fax
- (407) 303-1301
- Mailing Address
- 2501 N ORANGE AVE SUITE 589 ORLANDO, FL 32804
- Mailing Phone
- (407) 303-1300
- Mailing Fax
- (407) 303-1301
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2006
- Last Update Date
- 03-29-2017
- Code Navigator
A pediatrician like Susan Kelly 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 Pediatric Hematology-Oncology
- Taxonomy Code
- 2080P0207X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME79161
- License State
- FL
- Taxonomy Description
- A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0207X | Allopathic & Osteopathic Physicians | Pediatrics | M8760 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
- Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
- Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) - HMO
- Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) - HMO
- Bronze Standard 1828 - HMO
- Bronze Value 1814 (High Value Network Savings, Open Access) - HMO
- Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) - HMO
- Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) - HMO
- Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
- Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Susan Kelly 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. SUSAN STABA KELLY MD
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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 | 2 | 3 | 5 | 1 | 7 | 0 | 2 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 2 | 7 | 0 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 2 + 7 + 0 + 2 + 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 1235170242 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 |
|---|---|---|---|
| 1891791505 | STEVEN DAVID SPECTOR M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 N ORANGE AVE SUITE 308 ORLANDO, FL 32804 (407) 896-8585 |
| 1255331146 | VINCENT HSU MD Individual | Internal Medicine (Infectious Disease) | 2501 N ORANGE AVE SUITE 235 ORLANDO, FL 32804 (407) 303-1967 |
| 1659364768 | HOWARD A. SACKEL M.D. Individual | Internal Medicine (Nephrology) | 2501 N ORANGE AVE SUITE 537 ORLANDO, FL 32804 (407) 894-4693 |
| 1063405108 | JORGE A KUSNIR M.D. Individual | Internal Medicine (Nephrology) | 2501 N ORANGE AVE SUITE 537N ORLANDO, FL 32804 (407) 894-4693 |
| 1952394991 | KAREN L. MILLER P.A. Individual | Physician Assistant (Medical) | 2501 N ORANGE AVE SUITE 537N ORLANDO, FL 32804 (407) 894-4693 |
| 1144213208 | TIMOTHY D. YOUELL M.D. Individual | Internal Medicine (Nephrology) | 2501 N ORANGE AVE SUITE 537N ORLANDO, FL 32804 (407) 894-4693 |
| 1851384994 | UDAY K RANJIT M.D. Individual | Internal Medicine (Nephrology) | 2501 N ORANGE AVE SUITE 537N ORLANDO, FL 32804 (407) 894-4693 |
| 1952394058 | JOSEPH W WARREN M.D. Individual | Internal Medicine (Nephrology) | 2501 N ORANGE AVE SUITE 537N ORLANDO, FL 32804 (407) 894-4693 |
| 1285629568 | DR. J DEAN COLE MD Individual | Orthopaedic Surgery (Orthopaedic Trauma) | 2501 N ORANGE AVE SUITE 340 ORLANDO, FL 32804 (407) 895-8890 |
| 1639165566 | JULIE ZEVALLOS A.R.N.P. Individual | Nurse Practitioner | 2501 N ORANGE AVE SUITE 537N ORLANDO, FL 32804 (407) 894-4693 |
| 1659367589 | DEBORAH GLIDDEN A.R.N.P. Individual | Nurse Practitioner | 2501 N ORANGE AVE SUITE 537N ORLANDO, FL 32804 (407) 894-4693 |
| 1457340101 | MANOUCHER MANOUCHERI M.D. Individual | Internal Medicine | 2501 N ORANGE AVE SUITE 235 ORLANDO, FL 32804 (407) 303-2814 |
| 1487645909 | NEAL SMITH M.D. Individual | Family Medicine | 2501 N ORANGE AVE SUITE 235 ORLANDO, FL 32804 (407) 303-2814 |
| 1225013717 | GARY DEAN SLADEK MD Individual | Internal Medicine (Rheumatology) | 2501 N ORANGE AVE 538 ORLANDO, FL 32804 (407) 894-8696 |
| 1003895491 | DR. FRANK CORSON RIGGALL M.D. Individual | Specialist | 2501 N ORANGE AVE SUITE 209 ORLANDO, FL 32804 (407) 898-0254 |
| 1285607200 | DIALYSIS SER CENTRAL FLORIDA LLC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 2501 N ORANGE AVE STE 537N ORLANDO, FL 32804 (407) 515-2200 |
| 1821054701 | FLORIDA HEMATOLOGY & ONCOLOGY SPECIALISTS PA Organization | Internal Medicine (Hematology & Oncology) | 2501 N ORANGE AVE SUITE 201 ORLANDO, FL 32804 (386) 774-5211 |
| 1013975713 | HEMATOLOGY & ONCOLOGY CONSULTANTS Organization | Internal Medicine (Hematology & Oncology) | 2501 N ORANGE AVE SUITE 381 ORLANDO, FL 32804 (407) 898-5452 |
| 1336190974 | FOUAD MAURICE HAJJAR MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 2501 N ORANGE AVE SUITE 589 ORLANDO, FL 32804 (407) 303-2080 |
| 1538109137 | ROBERT W HOLLOWAY MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 2501 N ORANGE AVE SUITE 800 ORLANDO, FL 32804 (407) 303-2422 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235170242, enumerated in the NPI registry as an "individual" on June 09, 2006
The provider is located at 2501 N Orange Ave Suite 589 Orlando, Fl 32804 and the phone number is (407) 303-1300
The provider's speciality is Pediatrics with taxonomy code 2080P0207X with a focus in Pediatric Hematology-Oncology
The provider might be accepting Accepts: Aetna CVS Health, Florida Blue (BlueCross. 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 June 09, 2006. 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].
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