Individual provider Active NPI

Ashley Fischer, M.D,

  • Pediatrics Physician
  • Pekin, IL
National Provider Identifier
1245678135
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036140154 Issued in IL
Practice address
3223 Griffin Ave
Pekin, IL 61554-6212
Phone
(309) 353-1822
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036140154 IL Primary

Addresses

Primary practice location

3223 Griffin Ave
Pekin, IL 61554-6212

Mailing address

3223 Griffin Ave
Pekin, IL 61554-6212
Phone (309) 251-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190206000424 IL Practitioner - Pediatric Medicine 4486992062 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036140154ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Illinois Pediatrics CurrentSince Oct 21, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Proctor Health Systems CurrentSince Mar 1, 2023 Accepting new patients
Proctor Health Systems CurrentSince Mar 1, 2023 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 21, 2023 Accepting new patients

Locations

7694 Solutions Ctr
Chicago, IL 60677

3591 Griffin Ave
Pekin, IL 61554
Phone (309) 353-1822

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

222 NE Monroe St
Ste 904
Peoria, IL 61602
Phone (309) 224-5621

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

Interoperability endpoints

  • Direct secure messaging: afischermd388575@carlehiedirect.net

Organizations & group practices 5

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1245678135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 GRIFFIN AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546212",
            "telephone_number": "309-251-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 GRIFFIN AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546212",
            "telephone_number": "309-353-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036140154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.