Active NPI
Stephen Edward Winikoff, M.D.
- Surgery Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME179677
- Practice address
- 14540 Old Saint Augustine Rd Ste 2571
Jacksonville, FL 32258-7420 - Phone
- (904) 886-2251
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 22925 | WV | |
| Surgery Physician | 208600000X | ME179677 | FL | Primary |
Addresses
Primary practice location
14540 Old Saint Augustine Rd Ste 2571
Jacksonville, FL 32258-7420
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Other practice location 1
426 8th St Ste 204
Glen Dale, WV 26038-1451
Phone (304) 845-1179
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807570700 | Medicaid | ID | |
| KAV65 | Other | BLUE CROSS OF IDAHO | |
| 8458754 | Medicaid | WA | |
| 000010158540 | Other | BLUE SHIELD OF IDAHO | |
| 0211573 | Other | LABOR & INDUSTRIES | |
| 7608856 | Other | AETNA | |
| 7676WI | Other | ASURIS NW HEALTH | |
| 22925 | Other | WV | HEALTH PLAN OF THE UPPER |
| 3810010434 | Medicaid | WV | |
| 001994184 | Other | WV | MOUNTAIN STATE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Columbia University College of Physicians and Surgeons, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 Old York Rd
Phila, PA 19141-3018
5501 Old York Rd Levy 2
Einstein Pediatrics Associates
Philadelphia, PA 19141-3018
Phone (215) 456-6786
5501 Old York Rd WCB 4TH FLR
Einstein CT Surgery Assoc
Philadelphia, PA 19141-3018
Phone (215) 456-8270
559 W Germantown Pike
East Norriton, PA 19403-4250
609 W Germantown Pike
East Norriton, PA 19403-4243
609 W Germantown Pike
East Norriton, PA 19403-4250
609 W Germantown Pike Medical Arts
Einstein Urology Assoc
East Norriton, PA 19403-4243
Phone (215) 663-6067
9880 Bustleton Ave
Philadelphia, PA 19115-2185
Phone (215) 456-8242
Einstein Surgical Assocs
700 West Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-7800
Hospital & facility affiliations
- Jefferson Einstein Montgomery Hospital
- Jefferson Lansdale Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME179677 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Marriott Medical Corp | Surgery | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Robert Marriott Medical Corp | Surgery | Current | Accepting new patients |
| Einstein Practice Plan Inc | Surgery | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Medical Center Montgomery | Past | Accepting new patients | |
| Einstein Practice Plan Inc | Surgery | Past | Accepting new patients |
Locations
222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762
609 W Germantown Pike
Ste 140
East Norriton, PA 19403
Phone (484) 622-7700
1616 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 856-1123
120 S Filbert St
Mechanicsburg, PA 17055
Phone (717) 458-0930
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
9880 Bustleton Ave
Ste 205
Philadelphia, PA 19115
Phone (215) 676-2222
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Surgery Physician
- Philadelphia, PA
- NPI 1922050509
-
- Surgery Physician
- Warrington, PA
- NPI 1467903914
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
-
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
-
- General Acute Care Hospital
- Lansdale, PA
- NPI 1386896306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1932127677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231627",
"telephone_number": "904-396-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14540 OLD SAINT AUGUSTINE RD STE 2571",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587420",
"telephone_number": "904-886-2251"
}
],
"practiceLocations": [
{
"address_1": "426 8th St Ste 204",
"address_purpose": "LOCATION",
"city": "Glen Dale",
"state": "WV",
"postal_code": "260381451",
"country_code": "US",
"telephone_number": "304-845-1179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINIKOFF",
"first_name": "STEPHEN",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "WV",
"license": "22925",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME179677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807570700",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "KAV65",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8458754",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010158540",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0211573",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7608856",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS NW HEALTH",
"identifier": "7676WI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF THE UPPER",
"identifier": "22925",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810010434",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BLUE CROSS",
"identifier": "001994184",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.