Individual provider Active NPI

Jonathan P Fishman, MD

  • Gastroenterology Physician
  • Denver, CO
National Provider Identifier
1104813559
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
41157 Issued in CO
Practice address
4500 E 9TH Ave Ste 720S
Denver, CO 80220-3926
Phone
(303) 355-3525
Fax
(303) 355-0255
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 41157 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave Ste 720S
Denver, CO 80220-3926

Mailing address

4500 E 9TH Ave
720 S
Denver, CO 80220-3900
Phone (303) 355-3525

Other identifiers 1

IdentifierTypeStateIssuer
13434748MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110321000986 CO Practitioner - Gastroenterology 5395754451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denver Digestive Health Specialists IncGroup PAC ID 8022090067, 17 clinicians

Practice addresses (Care Compare)

4500 E 9TH Ave
720S
Denver, CO 80220-3926
Phone (303) 355-3525

Hospital & facility affiliations

  • HCA Healthone Rose Hospital, Denver, CO, CCN 060032

Merit-based Incentive Payment System (MIPS)

Final score
74.04 of 100Reported as group
Quality
48.8
Promoting interoperability
98
Improvement activities
40
Cost
66.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41157COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Digestive Health Specialists Inc Gastroenterology CurrentSince Aug 1, 2003 Accepting new patients
Colorado Gastroenterology Prof LLC Gastroenterology CurrentSince Feb 19, 2024 Accepting new patients

Locations

4500 E 9th Ave
Ste 720S
Denver, CO 80220
Phone (303) 355-3525

4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175

Interoperability endpoints

  • Direct secure messaging: jonathanfishman@ddhs.allscriptsdirect.net

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.

Hospital & facility affiliations 1

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1104813559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "720 S",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203900",
            "telephone_number": "303-355-3525",
            "fax_number": "303-355-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE STE 720S",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203926",
            "telephone_number": "303-355-3525",
            "fax_number": "303-355-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "41157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13434748",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.