MS. STEPHANIE PATRICIA FABARA PINO M.D. - NPI 1174254049 - Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Stephanie Fabara Pino's NPI number?

The NPI number for Stephanie Fabara Pino is 1174254049. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Q: What is Stephanie Fabara Pino's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Ms. Stephanie Patricia Fabara Pino M.d. NPPES

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

MS. STEPHANIE PATRICIA FABARA PINO M.D. (NPI 1174254049) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174254049

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMS. STEPHANIE PATRICIA FABARA PINOCredential: M.D.

Location Address9500 EUCLID AVE # G21Cleveland, OH 44195-0002

Mailing Address9500 Euclid Ave # G21Cleveland, OH 44195-0002 · (214) 442-6503

Phone(216) 444-6503

Sole ProprietorNo

Enumeration DateJune 22, 2022

Last NPPES UpdateJune 17, 20254 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1174254049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9500 EUCLID AVE # G21, Cleveland, OH 44195

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Stephanie Patricia Fabara Pino M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

KATHERINE MARIE HOLMAN M.D.

Internal Medicine (Infectious Disease)