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STEPHEN J MCKENNA, LLC
NPI 1194023374
Specialist in Frederick, MD

Active since March 11, 2011
187 THOMAS JOHNSON DRIVE, SUITE 7, FREDERICK, MD 21702(240) 457-4605(240) 457-4631 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen J Mckenna, Llc NPPES

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

STEPHEN J MCKENNA, LLC (NPI 1194023374), doing business as Mckenna Surgical Associates, Llc, is a healthcare organization registered as a specialist in Frederick, Maryland and active in the NPI registry since March 2011. The organization lists Stephen J Mckenna, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1194023374
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSTEPHEN J MCKENNA, LLC
Location Address187 THOMAS JOHNSON DRIVE, SUITE 7Frederick, MD 21702-4503
Mailing Address187 Thomas Johnson Drive, Suite 7Frederick, MD 21702-4503 · (240) 457-4605 · Fax (240) 457-4631
Phone(240) 457-4605
Fax(240) 457-4631
Organization SubpartNo
Authorized OfficialStephen J MckennaOwner/physician · (301) 651-0023
Enumeration DateMarch 11, 2011
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1194023374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D31422
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedSurgeryTaxonomy 208600000X
187 THOMAS JOHNSON DRIVE, Frederick, MD 21702
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Other Names 1

Doing Business AsMckenna Surgical Associates, Llc

Other Identifiers 2

Medicaid483881500MD
Medicaid336913700MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen J Mckenna, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stephen J Mckenna, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Mckenna, MD, MBA, FACS
General Surgery
NPI 1982665147
187 THOMAS JOHNSON DR SUITE 7
Frederick, MD 21702
(240) 457-4605
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stephen J Mckenna, LLC's NPI number?

The NPI number for Stephen J Mckenna, LLC is 1194023374. It was assigned to this organization in the NPPES registry on March 11, 2011. The provider is doing business as McKenna Surgical Associates, LLC.

Where is Stephen J Mckenna, LLC located?

Stephen J Mckenna, LLC is located at 187 Thomas Johnson Drive Suite 7, Frederick, MD 21702. The listed phone number is (240) 457-4605.

What is Stephen J Mckenna, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Stephen J Mckenna, LLC enrolled in Medicare?

Yes. Stephen J Mckenna, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephen J Mckenna, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Stephen J Mckenna, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stephen J Mckenna, LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.