SOFIA BARRIOS FERNANDEZ MD
NPI 1184293631
Internal Medicine - Infectious Disease in Philadelphia, PA
About Sofia Barrios Fernandez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOFIA BARRIOS FERNANDEZ MD (NPI 1184293631) is an individual infectious disease provider in Philadelphia, Pennsylvania, licensed in Missouri (2025051428) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sofia Barrios Fernandez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sofia Barrios Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOPhysician 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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Sofia Barrios Fernandez's NPI number?
The NPI number for Sofia Barrios Fernandez is 1184293631. It was assigned to this individual provider in the NPPES registry on June 20, 2021.
Where is Sofia Barrios Fernandez located?
Sofia Barrios Fernandez practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 327-3093.
What is Sofia Barrios Fernandez's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Sofia Barrios Fernandez enrolled in Medicare?
Yes. Sofia Barrios Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sofia Barrios Fernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Barrios Fernandez reassigns Medicare benefits to Ssm Health Care Group (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sofia Barrios Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sofia Barrios Fernandez accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee list Sofia Barrios Fernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sofia Barrios Fernandez affiliated with any hospitals?
According to CMS data, Sofia Barrios Fernandez is affiliated with Ssm Health Saint Louis University Hospital.
When was this NPI record last updated?
The NPPES record for Sofia Barrios Fernandez was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Sofia Barrios Fernandez, MD · NPI 1184293631
Infectious Disease physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 20, 2021.
## Identity
- **NPI:** 1184293631 (Entity type: Individual)
- **Enumerated:** June 20, 2021
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 2025051428 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 327-3093
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ssm Health Care Group (NPI 1306589544, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 26, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1184293631) · Data from the CMS NPPES public registry.