Active NPI
Richard G Fisher, M.D.
- Diagnostic Radiology Physician
- Pasadena, TX
National Provider Identifier
1376534354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0873
- Practice address
- 4600 E Sam Houston Pkwy S
Pasadena, TX 77505-3948 - Phone
- (713) 481-3533
- Fax
- (713) 432-0221
- NPI assigned
- Oct 31, 2005
- Last updated
- Dec 1, 2009
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0873 | TX | Primary |
Addresses
Primary practice location
4600 E Sam Houston Pkwy S
Pasadena, TX 77505-3948
Mailing address
PO Box 3119
Houston, TX 77253-3119
Phone (713) 481-3533
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138611207 | Medicaid | TX | |
| 138611202 | Medicaid | TX | |
| 8AM789 | Other | TX | BCBS |
| 138611213 | Medicaid | TX | |
| 138611214 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0873 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Radiology Assn | Diagnostic Radiology | Past | Accepting new patients |
| Collins Fisher Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Baylor College of Medicine | Diagnostic Radiology | Past | Accepting new patients |
| Baylor College of Medicine Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1407928120
-
- Diagnostic Radiology Physician
- Pasadena, TX
- NPI 1548453665
-
- Diagnostic Radiology Physician
- Wharton, TX
- NPI 1386629772
-
- Diagnostic Radiology Physician
- Webster, TX
- NPI 1275521718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1376534354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3119",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772533119",
"telephone_number": "713-481-3533",
"fax_number": "713-432-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 E SAM HOUSTON PKWY S",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053948",
"telephone_number": "713-481-3533",
"fax_number": "713-432-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "RICHARD",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "D0873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138611207",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138611202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AM789",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138611213",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138611214",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.