Active NPI
Travis Fisher, MD
- Internal Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 96244
- Practice address
- 10238 E Hampton Ave Ste 508
Mesa, AZ 85209-3321 - Phone
- (480) 834-7546
- Fax
- (480) 833-8313
- NPI assigned
- Oct 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 96244 | NM | Primary |
Addresses
Primary practice location
10238 E Hampton Ave Ste 508
Mesa, AZ 85209-3321
Mailing address
1855 N Stapley Dr
Mesa, AZ 85203-3002
Phone (480) 834-7546
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201538 | Medicaid | AZ | |
| L6372 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161014001165 | AZ | Practitioner - Internal Medicine | 1153463997 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Colorado School of Medicine, Denver, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RHG of Arizona PC
Practice addresses (Care Compare)
10238 E Hampton Ave
Suite 508
Mesa, AZ 85209-3321
Phone (480) 834-7546
Hospital & facility affiliations
- Honorhealth Four Peaks Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96244 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Technologies, LLC | Current | Accepting new patients | |
| RHG of Arizona, PC | Current | Accepting new patients |
Locations
5656 S Power Rd
Ste 126
Gilbert, AZ 85295
10238 E Hampton Ave
Mesa, AZ 85209
Phone (480) 357-0366
10238 E Hampton Ave
Ste 506
Mesa, AZ 85209
Phone (928) 487-5051
10238 E Hampton Ave
Ste 508
Mesa, AZ 85209
Phone (480) 358-6187
1855 N Stapley Dr
Mesa, AZ 85203
Phone (480) 545-0031
1492 S Mill Ave
Ste 101
Tempe, AZ 85281
Phone (480) 257-2740
Interoperability endpoints
- travis.fisher.1@32866.direct.athenahealth.com
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 3
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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1366536732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 N STAPLEY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852033002",
"telephone_number": "480-834-7546",
"fax_number": "480-833-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10238 E HAMPTON AVE STE 508",
"city": "MESA",
"state": "AZ",
"postal_code": "852093321",
"telephone_number": "480-834-7546",
"fax_number": "480-833-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "TRAVIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "96244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201538",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L6372",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.