Individual provider Active NPI

Gregory H Fisher, M.D.

  • Cardiovascular Disease Physician
  • Rockville, MD
National Provider Identifier
1093741084
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0026443 Issued in MD
Practice address
15225 Shady Grove Rd
Suite 201
Rockville, MD 20850-3254
Phone
(301) 670-3000
Fax
(240) 632-0164
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0026443 MD Primary

Addresses

Primary practice location

15225 Shady Grove Rd
Suite 201
Rockville, MD 20850-3254

Mailing address

15225 Shady Grove Rd
Suite 201
Rockville, MD 20850-3254
Phone (301) 670-3000

Other identifiers 1

IdentifierTypeStateIssuer
319651800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080925000135 DC Practitioner - Cardiovascular Disease (Cardiology) 3375610850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0026443MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Associates, P.C. Cardiovascular Disease CurrentSince Nov 4, 1983 Accepting new patients
Adventist Healthcare, Inc. Cardiovascular Disease Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

15225 Shady Grove Rd
Ste 305
Rockville, MD 20850
Phone (301) 802-4313

15225 Shady Grove Rd
Ste 201
Rockville, MD 20850
Phone (301) 670-3000

Organizations & group practices 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1093741084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "address_2": "SUITE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503254",
            "telephone_number": "301-670-3000",
            "fax_number": "240-632-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "address_2": "SUITE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503254",
            "telephone_number": "301-670-3000",
            "fax_number": "240-632-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "GREGORY",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0026443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319651800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.