Individual provider Active NPI

Robert Fischer, MD

  • MOHS-Micrographic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1023378759
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD29268 Issued in OK
Practice address
5801 E 41St St Ste 200
Tulsa, OK 74135-5627
Phone
(918) 760-0700
Fax
(918) 628-0700
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD29268 OK Primary

Addresses

Primary practice location

5801 E 41St St Ste 200
Tulsa, OK 74135-5627

Mailing address

7507 S Granite PL
Tulsa, OK 74136-7244
Phone (918) 760-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806000441 OK Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 3577811801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
University of Oklahoma College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southside Dermatology PLLCGroup PAC ID 9234487554, 11 clinicians

Practice addresses (Care Compare)

720 W 71St St
Tulsa, OK 74132-1825
Phone (918) 760-0700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision39
Removal of skin lesions1-10
Removal of skin cancer420
Skin biopsy25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD29268OKMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Dermatology PLLC CurrentSince Aug 15, 2018 Accepting new patients
Southside Dermatology PLLC CurrentSince Aug 15, 2018 Accepting new patients

Locations

3300 S Aspen Ave
Ste A
Broken Arrow, OK 74012
Phone (918) 451-0211

333 S 38th St
Ste F
Muskogee, OK 74401
Phone (918) 682-8087

6966 S Utica Ave
Ste 225
Tulsa, OK 74136
Phone (855) 492-6333

7320 S Yale Ave
Tulsa, OK 74136
Phone (918) 760-0700

5801 E 41st St
Ste 200
Tulsa, OK 74135
Phone (918) 293-9966

720 W 71st St
Tulsa, OK 74132
Phone (918) 760-0700

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00426

Organizations & group practices 2

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1023378759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 S GRANITE PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367244",
            "telephone_number": "918-760-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E 41ST ST STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355627",
            "telephone_number": "918-760-0700",
            "fax_number": "918-628-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "MD29268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.