Individual provider Active NPI

Daniel Moran Fischer, M.D.

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1275875189
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD180613 Issued in OR
Practice address
5228 NE Hoyt St
BLDG B, Ste 300
Portland, OR 97213
Phone
(503) 215-4860
NPI assigned
Mar 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD180613 OR Primary

Addresses

Primary practice location

5228 NE Hoyt St
BLDG B, Ste 300
Portland, OR 97213

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice location 1

9450 SW Barnes Rd Ste 200
Portland, OR 97225-6638
Phone (503) 216-2025

Other identifiers 1

IdentifierTypeStateIssuer
500730191MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dfischer816536@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20170711003301 OR Practitioner - Psychiatry 4688978307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Vermont College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

9155 SW Barnes Rd
Suite 333
Portland, OR 97225-6630
Phone (503) 216-5102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Psychiatry CurrentSince Jul 31, 2017 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 31, 2017 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Medical Group, PC Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

9155 SW Barnes Rd
Ste 333
Portland, OR 97225
Phone (503) 216-2028

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

9450 SW Barnes Rd
Ste 200
Portland, OR 97225
Phone (503) 216-2025

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

5228 NE Hoyt St
Bldg B
Portland, OR 97213
Phone (503) 215-4860

Interoperability endpoints

  • Direct secure messaging: dfischer816536@oc.providencedirect.org

Organizations & group practices 6

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1275875189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 NE HOYT ST",
            "address_2": "BLDG B, STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-215-4860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9450 SW Barnes Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256638",
            "country_code": "US",
            "telephone_number": "503-216-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "DANIEL",
        "middle_name": "MORAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD180613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500730191",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfischer816536@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5228 NE Hoyt St Bldg B3",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972133055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.