Active NPI
Charles Michael Fischman, M.D.
- Internal Medicine Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME25700
- Practice address
- 1715 37TH PL FL 2
Vero Beach, FL 32960-4508 - Phone
- (772) 794-2222
- Fax
- (772) 794-0045
- NPI assigned
- Nov 22, 2005
- Last updated
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME25700 | FL | Primary |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | ME25700 | FL |
Addresses
Primary practice location
1715 37TH PL FL 2
Vero Beach, FL 32960-4508
Mailing address
PO Box 38
Vero Beach, FL 32961-0038
Phone (772) 539-1775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065438800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Primary Care | Current | Accepting new patients | |
| Steward Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Health Associates of Tampa Bay PA | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients |
Locations
8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388
508 S Habana Ave
Ste 300
Tampa, FL 33609
Phone (813) 877-6770
1600 36th St
Ste C
Vero Beach, FL 32960
Phone (772) 217-4422
1715 37th Pl
Fl 2
Vero Beach, FL 32960
Phone (772) 567-4336
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HECFAD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orbis Medical Concierge
- Internal Medicine Physician
- Tampa, FL
- NPI 1295007789
-
- Specialist
- Vero Beach, FL
- NPI 1023192507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1255314365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329610038",
"telephone_number": "772-539-1775",
"fax_number": "772-569-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 37TH PL FL 2",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604508",
"telephone_number": "772-794-2222",
"fax_number": "772-794-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHMAN",
"first_name": "CHARLES",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME25700",
"primary": true
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "FL",
"license": "ME25700",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065438800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Erin Leigh Fiorella
- First Choice Healthcare LLC
- First Home Care Solutions, LLC (Excellent Nursing Staff)
- Kelsey Morgan Fischer, PA-C
- Fischman & Borgmeier MD PA
- Michael David Fitzgerald, L.C.S.W.
- Fivemile Creek Emergency Physicians, LLC
- FL-I Medical Services, LLC
- Daniel M Fleming, O.D.
- Mirlange Fleuriot, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.