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STEPHEN DANIEL FERNICOLA MD
NPI 1710307772
Orthopaedic Surgery - Sports Medicine in Bethesda, MD

Active since April 17, 2014PECOS Enrolled
8901 ROCKVILLE PIKE, BUILDING 1, 19TH FLOOR ROOM 19107, BETHESDA, MD 20889(301) 295-0537 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 9, 2026, Feb 25, 2025, Jul 31, 2020 (3 updates tracked since 2020).

About Stephen Daniel Fernicola Md NPPES

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

STEPHEN DANIEL FERNICOLA MD (NPI 1710307772) is an individual sports medicine provider in Bethesda, Maryland, licensed in Florida (ME172329) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in St Augustine.

NPPES Registry Identity

NPI1710307772
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameSTEPHEN DANIEL FERNICOLACredential: MD
Location Address8901 ROCKVILLE PIKE, BUILDING 1, 19TH FLOOR ROOM 19107Bethesda, MD 20889-0001
Mailing Address45 Groover LoopSt Augustine, FL 32086-6548 · (904) 634-0640 · Fax (904) 634-0203
Phone(301) 295-0537
Sole ProprietorNo
Enumeration DateApril 17, 2014
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1710307772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · ME172329
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License VA0101264557 (VA)
8901 ROCKVILLE PIKE, Bethesda, MD 20889
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Secondary Practice Location 1

Location 145 Groover LoopSt Augustine, FL 32086-6548 · Phone (904) 634-0640 · Fax (904) 634-0203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Daniel Fernicola Md 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 20

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

DR. LIESL SHOCKLEY GRENIER M.D.
Dermatology (Dermatopathology)
8901 ROCKVILLE PIKE
BETHESDA, MD 20889
Montgomery County (301) 295-4000
MEGAN JUDITH LENIHAN MD
Surgery
8901 ROCKVILLE PIKE
BETHESDA, MD 20889
Montgomery County (301) 295-4000
JOHNS HOPKINS UNIVERSITY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8901 ROCKVILLE PIKE
BETHESDA, MD 20889
Montgomery County (301) 400-1382
NATASHA ANTONY MD
Obstetrics & Gynecology
8901 ROCKVILLE PIKE
BETHESDA, MD 20889
Montgomery County (301) 295-4600
MATTHEW NICHOLAS RIBEIRO MD
Anesthesiology
8901 ROCKVILLE PIKE
BETHESDA, MD 20889
Montgomery County (301) 295-4000
MR. ANDREW JOSEPH ULLMANN JR. DO
Internal Medicine
8901 ROCKVILLE PIKE
BETHESDA, MD 20889
Montgomery County (908) 635-6978
BRYCE TANNER GARDNER DMD
Military Health Care Provider
8901 ROCKVILLE PIKE
BETHESDA, MD 20889
Montgomery County (301) 295-4340
PARESH RAM PATEL MD
Emergency Medicine
8901 ROCKVILLE PIKE
BETHESDA, MD 20889
Montgomery County (301) 295-4810

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 Fernicola's NPI number?

The NPI number for Stephen Fernicola is 1710307772. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Stephen Fernicola located?

Stephen Fernicola practices at 8901 Rockville Pike Building 1, 19th Floor Room 19107, Bethesda, MD 20889. The listed phone number is (301) 295-0537.

What is Stephen Fernicola's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Stephen Fernicola enrolled in Medicare?

Yes. Stephen Fernicola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Fernicola was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.