Individual provider Active NPI

Ian T. Fischer, MD

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1306937198
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29348 Issued in OK
Practice address
5801 E 41St St Ste 900
Tulsa, OK 74135-5631
Phone
(918) 747-4975
Fax
(918) 743-8552
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35-08-8648 OH
Diagnostic Radiology Physician 2085R0202X MD61628906 WA
Diagnostic Radiology Physician 2085R0202X OH
Diagnostic Radiology Physician 2085R0202X 29348 OK Primary

Addresses

Primary practice location

5801 E 41St St Ste 900
Tulsa, OK 74135-5631

Mailing address

PO Box 4930
Tulsa, OK 74159-0930
Phone (918) 747-4975

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Other identifiers 1

IdentifierTypeStateIssuer
200453780AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, MO, KY, MI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20120815000497 OK Practitioner - Diagnostic Radiology 5799783023 Reassigns benefits to 8 organizations
I20121001000095 TX Practitioner - Diagnostic Radiology 5799783023
I20251204004506 MO Practitioner - Diagnostic Radiology 5799783023 Reassigns benefits to 1 organization
I20260115003057 KY Practitioner - Diagnostic Radiology 5799783023 Reassigns benefits to 1 organization
I20260523000403 MI Practitioner - Diagnostic Radiology 5799783023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology One Medical Group PCGroup PAC ID 5496247793, 41 clinicians
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians
Evansville Radiology PCGroup PAC ID 6406826031, 31 clinicians

Practice addresses (Care Compare)

Ramona, OK 74061
Phone (918) 392-1702

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

1600 E Broadway Box 50 Attn Stephanie Windsor
Columbia, MO 65201-5844

1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119

27283 N 3990 Rd
Ramona, OK 74061-3361
Phone (253) 761-4200

3302 S Xanthus Ave
Tulsa, OK 74105-2747
Phone (812) 422-3254

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.7 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
41.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29348OKMDDiagnostic Radiology Physician
MD61628906WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Radiology Associates Inc Diagnostic Radiology CurrentSince Mar 1, 2016 Accepting new patients
The Radiology Clinic LLC Diagnostic Radiology CurrentSince Aug 12, 2025 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Dec 1, 2024 Accepting new patients
Radiology One Medical Group PC Diagnostic Radiology CurrentSince Oct 14, 2025 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Jan 8, 2026 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Evansville Radiology PC Diagnostic Radiology CurrentSince May 1, 2026 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Jan 12, 2025 Accepting new patients
Tra-Minw P S CurrentSince Jan 27, 2025 Accepting new patients
University of Louisville Phyisicians, Inc. CurrentSince Jan 8, 2026 Accepting new patients
Boone Physician Services, LLC CurrentSince Sep 27, 2025 Accepting new patients
Radiology Consultants of Tulsa Inc Diagnostic Radiology Past Accepting new patients
John Balko and Associates Inc PastSince Jan 1, 2000 Accepting new patients

Locations

100 Rice Mine Rd N
Ste 206
Tuscaloosa, AL 35406

7752 Solution Ctr
Chicago, IL 60677

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

5801 E 41st St
Ste 900
Tulsa, OK 74135
Phone (918) 743-8838

4111 S Darlington Ave
Ste 700
Tulsa, OK 74135
Phone (918) 743-8943

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622

500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307

11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374

222 15th Ave SE
Puyallup, WA 98372

3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399

2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

5919 100th St SW
Tacoma, WA 98499

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1306937198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4930",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590930",
            "telephone_number": "918-747-4975",
            "fax_number": "918-743-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E 41ST ST STE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355631",
            "telephone_number": "918-747-4975",
            "fax_number": "918-743-8552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "IAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35-08-8648",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61628906",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "29348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200453780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.