Individual provider Active NPI

David Carl Fisher, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1073691440
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.064603 Issued in OH
Practice address
3805 Edwards Rd
Suite 350
Cincinnati, OH 45209-1900
Phone
(513) 321-0833
Fax
(513) 321-6063
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.064603 OH Primary

Addresses

Primary practice location

3805 Edwards Rd
Suite 350
Cincinnati, OH 45209-1900

Mailing address

3805 Edwards Rd
Suite 350
Cincinnati, OH 45209-1900
Phone (513) 321-0833

Other identifiers 1

IdentifierTypeStateIssuer
2739737MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070326000562 OH Practitioner - Internal Medicine 7719081017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, IIIGroup PAC ID 1557547734, 6 clinicians

Practice addresses (Care Compare)

3805 Edwards Rd
Suite 360
Cincinnati, OH 45209-1934
Phone (513) 321-0833

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.04 of 100Reported as group
Quality
96.17
Promoting interoperability
100
Improvement activities
40
Cost
70.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.064603OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, III Internal Medicine CurrentSince Apr 25, 2022 Accepting new patients

Locations

237 Wm Howard Taft Rd
Cincinnati, OH 45219
Phone (513) 351-9900

3805 Edwards Rd
Ste 360
Cincinnati, OH 45209
Phone (513) 321-0833

3805 Edwards Rd
Ste 130
Cincinnati, OH 45209
Phone (513) 564-3960

3805 Edwards Rd
Ste 350
Cincinnati, OH 45209
Phone (513) 321-0833

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1073691440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 EDWARDS RD",
            "address_2": "SUITE 350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091900",
            "telephone_number": "513-321-0833",
            "fax_number": "513-321-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 EDWARDS RD",
            "address_2": "SUITE 350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091900",
            "telephone_number": "513-321-0833",
            "fax_number": "513-321-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DAVID",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.064603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2739737",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.