Active NPI
Mark Daniel Fisch, M.D.
- Interventional Cardiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 01069933A
- Practice address
- 1801 N Senate Boulevard
Suite 310
Indianapolis, IN 46202-1196 - Phone
- (317) 962-2500
- Fax
- (317) 962-2515
- NPI assigned
- Jul 10, 2007
- Last updated
- Jan 5, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA08811000 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 241325 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 0106933A | IN | |
| Interventional Cardiology Physician | 207RI0011X | 0106933A | IN | |
| Interventional Cardiology Physician | 207RI0011X | 01069933A | IN | Primary |
Addresses
Primary practice location
1801 N Senate Boulevard
Suite 310
Indianapolis, IN 46202-1196
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 217-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201027340 | Medicaid | IN | |
| 000000728994 | Other | IN | ANTHEM PIN |
| P01002399 | Other | IN | RAILROAD MEDICARE PTAN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfisch@direct.iuhealth.org | ||
| Direct Messaging Address | mfisch@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Indiana University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11700 N Meridian St
Cardiovascular Diagnostic Services
Carmel, IN 46032-4656
Phone (317) 688-2955
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone (765) 342-8441
Hospital & facility affiliations
- Indiana University Health North Hospital
- Indiana University Health
- Riverview Health
- Ascension St Vincent Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.96 of 100
- Quality
- 68.78
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 67.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 17 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0106933A | IN | MD | Cardiovascular Disease Physician |
| 241325 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana Pathology Institute PC | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Bon Secours Charity Health System Medical Group, P.C. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
7301 Solutions Ctr
Chicago, IL 60677
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000
11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808
11725 Illinois St
Ste 265
Carmel, IN 46032
Phone (317) 688-5100
11725 Illinois St
Ste LL050
Carmel, IN 46032
Phone (317) 688-5626
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1801 Senate Blvd
Ste 310
Indianapolis, IN 46202
Phone (317) 957-2070
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364
Interoperability endpoints
- mfisch@direct.iuhealth.org
Organizations & group practices 7
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1376586719
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Cardiovascular Disease
-
dba University Clinical Pathology Associates PC
- Specialist
- Indianapolis, IN
- NPI 1548212798
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health North Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1346448305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N SENATE BOULEVARD",
"address_2": "SUITE 310",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021196",
"telephone_number": "317-962-2500",
"fax_number": "317-962-2515"
}
],
"practiceLocations": [
{
"address_1": "1111 Ronald Reagan Pkwy",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461237085",
"country_code": "US",
"telephone_number": "317-217-3000",
"fax_number": "317-273-5988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCH",
"first_name": "MARK",
"middle_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA08811000",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "241325",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "0106933A",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "0106933A",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01069933A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201027340",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000728994",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01002399",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfisch@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1801 N Senate Boulevard",
"address_2": "Suite 310",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021196",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfisch@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1111 Ronald Reagan Pkwy",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461237085",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.