DR. KATRINA RUTH STIDHAM M.D. NPI 1508952219

NPI Information

  • NPI: 1508952219
  • Provider Name: DR. KATRINA RUTH STIDHAM, M.D.
  • Classification: Otolaryngology - 207YX0901X
  • Specialization: Otology & Neurotology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19 BRADHURST AVE STE 3100N
    HAWTHORNE, NY
    ZIP 10532
  • Phone: (914) 693-7636

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NPI Details

DR. Katrina Ruth Stidham, M.D. is an otology and neurotology otolaryngology in Hawthorne, NY with 33 years of experience. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. DR. Katrina Ruth Stidham, M.D. NPI is 1508952219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

19 BRADHURST AVE STE 3100N
HAWTHORNE, NY
ZIP 10532-140
Phone: (914) 693-7636

The NPI 1508952219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Exam of ear using a microscope (HCPCS:92504)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Evaluation and testing for balance with recording (HCPCS:92540)
  • Test for abnormal eye movement using a rotating chair (HCPCS:92546)
  • Removal of impacted ear wax (HCPCS:69210)
  • Test to assess balance during warm and cool irrigation in both ears (HCPCS:92537)
  • Test for balance and posture (HCPCS:92548)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Incision of eardrum with insertion of eardrum tube under local or topical anesthesia (HCPCS:69433)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of cochlear device (HCPCS:69930)

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0901XOtolaryngologyOtology & Neurotology250862NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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