Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey M Kassutto, MD

Individual provider Internal Medicine Physician · NPI 1548587785

Stacey M Kassutto, MD is a Critical Care (Intensivists) in Philadelphia, Pennsylvania. Graduated from Perelman School of Med at the University of Pennsylvania in 2010, 16 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Civic Center Blvd Fl 1
Philadelphia, PA 19104-5161
Phone: (215) 662-3202
Fax: (215) 349-8432
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence MD447429 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD447429 (PA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD447429 (PA)

Record details

NPI number1548587785
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2010
Last updated in NPPESOctober 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE, PULMONARY DISEASE
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2010 (16 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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