NPIMap

Individual provider Active NPI

Brian A Fishero, MD

  • Otolaryngology Physician
  • Midlothian, VA
National Provider Identifier
1356665830
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101257493 Issued in VA
Practice address
14051 St Francis Blvd
Suite 2211
Midlothian, VA 23114-3201
Phone
(804) 378-7443
NPI assigned
Mar 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101257493 VA Primary

Addresses

Primary practice location

14051 St Francis Blvd
Suite 2211
Midlothian, VA 23114-3201

Mailing address

PO Box 8310
Roanoke, VA 24014-0310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921002961 VA Practitioner - Otolaryngology 3779710934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Ear Nose and Throat Specialists PCGroup PAC ID 4284633934, 7 clinicians

Practice addresses (Care Compare)

1 Park W Cir
Suite 200
Midlothian, VA 23114-5552
Phone (540) 345-3556

1501 Maple Ave
Suite 205
Richmond, VA 23226-2553
Phone (804) 525-4231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Ear, Nose & Throat Specialists PC Otolaryngology CurrentSince Aug 1, 2015 Accepting new patients
Commonwealth Hearing AIDS Inc Past Accepting new patients

Locations

14051 St Francis Blvd
Ste 2211
Midlothian, VA 23114
Phone (804) 378-7443

1 Park West Cir
Ste 200
Midlothian, VA 23114
Phone (804) 378-7443

1501 Maple Ave
Ste 205
Richmond, VA 23226
Phone (804) 525-4231

Organizations & group practices 2

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1356665830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14051 ST FRANCIS BLVD",
            "address_2": "SUITE 2211",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143201",
            "telephone_number": "804-378-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHERO",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-26",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101257493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.