NPIMap

Individual provider Active NPI

Raymond Fisher, M.D.

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1104886779
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036055502 Issued in IL
Practice address
7447 W Talcott Ave
Suite 200
Chicago, IL 60631-3745
Phone
(773) 774-5020
Fax
(773) 774-4967
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Loyola University of Chicago, Stritch School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richland Memorial Hospital Inc 107 clinicians

Practice addresses (Care Compare)

101 Industry Rd
Bridgeport, IL 62417-2442
Phone (618) 945-3001

800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340

900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000

Hospital & facility affiliations

  • Carle Richland Memorial Hospital Hospital, Olney, IL, CCN 141355
  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
  • Lawrence County Memorial Hospital Hospital, Lawrenceville, IL, CCN 141344
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000941 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254467129 Reassigns benefits to 5 organizations

All facility ownership & control disclosures 4

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carle Richland Memorial HospitalOlney, IL, CCN 141355 Hospital Corporate Director Oct 1, 2020
Carle Richland Memorial HospitalOlney, IL, CCN 14Z355 Hospital Corporate Director Oct 1, 2020
Carle RMH West Salem Rural Health ClinicWest Salem, IL, CCN 148548 Rural health clinic Corporate Director Oct 1, 2020
Carle RMH Primary CareOlney, IL, CCN 148584 Rural health clinic Corporate Director Oct 1, 2020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital CurrentSince Jan 17, 2018 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Nov 1, 2018 Accepting new patients
Carle Health Care Incorporated Cardiovascular Disease CurrentSince Jan 17, 2018 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Jul 25, 2016 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Nov 1, 2018 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Hoopeston Community Memorial Hospital Cardiovascular Disease Current Accepting new patients

Locations

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

1300 Franklin Ave
Ste 380
Normal, IL 61761
Phone (309) 268-3589

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: raymond.fisher@nscc.directbygreenway.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036055502 IL
Cardiovascular Disease Physician 207RC0000X 036055502 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

7447 W Talcott Ave
Suite 200
Chicago, IL 60631-3745

Mailing address

7447 W Talcott Ave
Suite 200
Chicago, IL 60631-3745
Phone (773) 774-5020

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
036055502MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2016.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1104886779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-774-5020",
            "fax_number": "773-774-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-774-5020",
            "fax_number": "773-774-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036055502",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036055502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055502",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.