Individual provider Active NPI

Forrest B Fernandez, MD

  • Surgical Critical Care Physician
  • Philadelphia, PA
National Provider Identifier
1174619969
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD430199 Issued in PA
Practice address
3400 Spruce Street
Philadelphia, PA 19104-3309
Phone
(215) 349-8310
Fax
(215) 893-7270
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD430199 PA
Surgical Critical Care Physician 2086S0102X MD430199 PA Primary

Addresses

Primary practice location

3400 Spruce Street
Philadelphia, PA 19104-3309

Mailing address

3400 Spruce Street
Philadelphia, PA 19104-3309
Phone (215) 349-8310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061213000158 PA Practitioner - Critical Care (Intensivists)Practitioner - General SurgeryPractitioner - Other (Physician) 4587642103 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
University of Michigan Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

2106 Harrisburg Pike
Suite 310
Lancaster, PA 17601-2644
Phone (717) 544-5945

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 349-8310

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD430199PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Reading Hospital CurrentSince Nov 14, 2007 Accepting new patients
Reading Hospital Current Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Apr 1, 2020 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Lanaster General Hospital CurrentSince Oct 1, 2022 Accepting new patients
Lancaster General Hospital Surgery Current Accepting new patients
West Grove Clinic Company LLC Surgery CurrentSince Apr 1, 2020 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Apr 1, 2020 Accepting new patients
Phoenixville Clinic Company LLC Surgery Current Accepting new patients
Grand View Hospital CurrentSince Jul 16, 2020 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Apr 1, 2020 Accepting new patients
Reading Hospital CurrentSince Nov 14, 2007 Accepting new patients
Grand View Hospital Surgery CurrentSince Jul 16, 2020 Accepting new patients
Lancaster General Hospital CurrentSince Oct 1, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Nov 24, 2007 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Apr 1, 2020 Accepting new patients
Tower Health Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Pottstown Clinic Company LLC Surgery CurrentSince Aug 1, 2019 Accepting new patients
West Grove Clinic Company LLC CurrentSince Apr 1, 2020 Accepting new patients
Tower Health Medical Group Surgery CurrentSince Nov 24, 2007 Accepting new patients
Chestnut Hill Clinic Company, LLC Surgery Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients
University of Penn-PA Trauma Surgery Past Accepting new patients
Lancaster General Hospital Past Accepting new patients
The Pennsylvania Hospital of the University of Pennsylvania Health Sys Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

700 Horizon Dr
Ste 201
Chalfont, PA 18914
Phone (215) 453-2510

176 Main St
Harleysville, PA 19438
Phone (215) 256-9531

2106 Harrisburg Pike
Ste 310
Lancaster, PA 17601
Phone (717) 544-0545

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

419 S Broad St
Unit 4
Lansdale, PA 19446
Phone (267) 429-2561

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3737 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-8664

3400 Spruce St
#818
Philadelphia, PA 19104

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

99 N West End Blvd
Ste 102
Quakertown, PA 18951
Phone (215) 538-0202

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

915 Lawn Ave
Ste 203
Sellersville, PA 18960
Phone (215) 257-3697

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1267/brand/2/csg/121/fhir/r4

Organizations & group practices 56

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 56

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1174619969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043309",
            "telephone_number": "215-349-8310",
            "fax_number": "215-893-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043309",
            "telephone_number": "215-349-8310",
            "fax_number": "215-893-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "FORREST",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD430199",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MD430199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.