Individual provider Active NPI

Ann Brigid Fischer, MD

  • Pediatrics Physician
  • Oak Park, IL
National Provider Identifier
1316916885
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036079693 Issued in IL
Practice address
6300 Roosevelt Rd
Oak Park, IL 60304-2303
Phone
(708) 848-8240
Fax
(708) 383-2135
NPI assigned
Mar 16, 2006
Last updated
Apr 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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 036079693 IL Primary

Addresses

Primary practice location

6300 Roosevelt Rd
Oak Park, IL 60304-2303

Mailing address

166 N Ridgeland Ave
Oak Park, IL 60302-2621
Phone (708) 386-0526

Other identifiers 1

IdentifierTypeStateIssuer
036079693MedicaidIL

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
I20050518000541 IL Practitioner - Pediatric Medicine 2769423961 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Aug 13, 2018 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Aug 13, 2018 Accepting new patients
Rush Presbyterian St. Lukes Medical Center Pediatrics Past Accepting new patients

Locations

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1316916885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 N RIDGELAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022621",
            "telephone_number": "708-386-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042303",
            "telephone_number": "708-848-8240",
            "fax_number": "708-383-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ANN",
        "middle_name": "BRIGID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036079693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079693",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.