Individual provider Active NPI

Alison Fischer, M.D.

  • Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1225266307
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
27303 Issued in OK
Practice address
720 W 71St St
Tulsa, OK 74132-1825
Phone
(918) 760-0700
Fax
(918) 628-0700
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 27303 OK Primary

Addresses

Primary practice location

720 W 71St St
Tulsa, OK 74132-1825

Mailing address

720 W 71St St
Tulsa, OK 74132
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130730000092 OK Practitioner - Dermatology 5193966489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Oklahoma College of Medicine, 2009
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)

3300 S Aspen Ave
Suite a
Broken Arrow, OK 74012-7501
Phone (918) 760-0700

333 S 38TH St
Suite E
Muskogee, OK 74401-4937
Phone (918) 760-0700

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) excision110
Removal of skin lesions470
Removal of skin cancer241
Removal or shaving of skin growth1-10
Skin biopsy300

National Provider Directory

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

Practice roles

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

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1225266307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74132",
            "telephone_number": "918-760-0700",
            "fax_number": "918-628-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321825",
            "telephone_number": "918-760-0700",
            "fax_number": "918-628-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-11-09",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "27303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.