Individual provider Active NPI

Douglas Grant Fish, M.D.

  • Infectious Disease Physician
  • Albany, NY
National Provider Identifier
1013909167
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
194867 Issued in NY
Practice address
66 Hackett Blvd
Albany, NY 12209-1750
Phone
(518) 262-4439
Fax
(518) 262-8460
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 194867 NY Primary

Addresses

Primary practice location

66 Hackett Blvd
Albany, NY 12209-1750

Mailing address

66 Hackett Blvd
Albany, NY 12209-1750
Phone (518) 262-4439

Other identifiers 1

IdentifierTypeStateIssuer
01453007MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080626000062 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 9032281621 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194867NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Apr 1, 2019 Accepting new patients
Albany Medical College Infectious Disease CurrentSince Feb 4, 2018 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Feb 4, 2018 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

66 Hackett Blvd
Albany, NY 12209
Phone (518) 262-4439

1561 Ulster Ave
Lake Katrine, NY 12449
Phone (518) 339-6755

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

Interoperability endpoints

  • Direct secure messaging: dfish24498@albanymed.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013909167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091750",
            "telephone_number": "518-262-4439",
            "fax_number": "518-262-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091750",
            "telephone_number": "518-262-4439",
            "fax_number": "518-262-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "DOUGLAS",
        "middle_name": "GRANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "194867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01453007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.