STEPHANIE FULLER M.D.
NPI 1013115930
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA

Q: What is Stephanie Fuller's NPI number?

The NPI number for Stephanie Fuller is 1013115930. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Q: What is Stephanie Fuller's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Fuller was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2007PECOS Enrolled

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104(215) 590-2708(215) 590-2715 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2025, Nov 12, 2025 (2 updates tracked since 2025).

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About Stephanie Fuller M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE FULLER M.D. (NPI 1013115930) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Philadelphia, Pennsylvania, licensed in Maryland (D0105511) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Eastern Virginia Medical School (1999).

NPPES Registry Identity

NPI1013115930

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameSTEPHANIE FULLERCredential: M.D.

Location Address34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIAPhiladelphia, PA 19104-4399

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 955-5000 · Fax (410) 500-4266

Phone(215) 590-2708

Fax(215) 590-2715

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1999

Enumeration DateJuly 3, 2007

Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1013115930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in MD · D0105511✔ Licensed in PA · MD420734

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License MD420734 (PA)

34TH & CIVIC CENTER BLVD, Philadelphia, PA 19104

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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-5000 ext. 32704

Other Identifiers 1

Medicaid100743887-0030PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Fuller M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537235908

PECOS Enrollment IDI20251218000416

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK RIZZI M.D.

Otolaryngology

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-3440

BRIAN LESTINI M.D.

Pediatrics (Pediatric Hematology-Oncology)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

PATRICK JOHN CAHILL MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1527

DR. CHERIE D FOSTER MD

Pediatrics (Neonatal-Perinatal Medicine)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

BONNIE L SERLETTI MD

Obstetrics & Gynecology

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-2730

DR. THEODORE J GANLEY M.D.

Orthopaedic Surgery

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1527

JOHN TODD RUTTER LAWRENCE M.D./PH.D.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1527

CHRISTINE B SETHNA M.D.

Pediatrics (Pediatric Nephrology)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

AMANDA PASCHKE M.D.

Pediatrics (Pediatric Infectious Diseases)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

DR. LINDA YOO

Pediatrics

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

AMIT A SHAH M.D.

Pediatrics (Pediatric Gastroenterology)

34TH & CIVIC CENTER BLVD, 9NW55, MAIN HOSPITAL
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1221

GELA BAJELIDZE MD

Specialist (Research Study)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

ANNA H BAUMGAERTEL M.D.

Pediatrics (Developmental - Behavioral Pediatrics)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

DR. GREGORY EDWARD TASIAN M.D., M.SC.

Urology

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-2754

ARCHANA MALIK M.D.

Radiology (Pediatric Radiology)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

TRICIA BHATTI M.D.

Pathology (Pediatric Pathology)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

SURESH G SHELAT M.D.

Pediatrics

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

RICHARD S DAVIDSON M.D.

Orthopaedic Surgery

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1527

DR. JOHN A GERMILLER M.D.

Otolaryngology

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-3440

DR. THOMAS L SPRAY M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-2708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Fuller's NPI number?

The NPI number for Stephanie Fuller is 1013115930. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Stephanie Fuller located?

Stephanie Fuller practices at 34th & Civic Center Blvd Children's Hospital Of Philadelphia, Philadelphia, PA 19104. The listed phone number is (215) 590-2708.

What is Stephanie Fuller's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Stephanie Fuller enrolled in Medicare?

Yes. Stephanie Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Fuller was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.