Individual provider Active NPI

Andrew Walter Fischer, M.D.

  • Internal Medicine Physician
  • Atlantis, FL
National Provider Identifier
1376720524
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME101686 Issued in FL
Practice address
180 JFK Dr
Suite 210
Atlantis, FL 33462-6641
Phone
(561) 548-1450
Fax
(561) 548-1459
NPI assigned
Jan 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME101686 FL Primary

Addresses

Primary practice location

180 JFK Dr
Suite 210
Atlantis, FL 33462-6641

Mailing address

180 JFK Dr
Suite 210
Atlantis, FL 33462-6641
Phone (561) 548-1450

Other identifiers 1

IdentifierTypeStateIssuer
281369600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ANDREW.FISCHER@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080731000545 FL Practitioner - Internal Medicine 4183798663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JFK Internal Medicine Faculty Practice, LLCGroup PAC ID 9830254671, 8 clinicians

Practice addresses (Care Compare)

180 JFK Dr
Suite 210
Atlantis, FL 33462-6641
Phone (561) 548-1450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101686FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JFK Internal Medicine Faculty Practice, LLC CurrentSince Jan 15, 2012 Accepting new patients

Locations

180 John F Kennedy Dr
Ste 210
Lake Worth, FL 33462

340 Royal Poinciana Way
Ste 315
Palm Beach, FL 33480
Phone (561) 832-8300

4685 S Congress Ave
Palm Springs, FL 33461
Phone (561) 548-2662

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: andrew.fischer@hca4.eclinicaldirectplus.com

Organizations & group practices 1

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 1

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1376720524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "SUITE 210",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-548-1450",
            "fax_number": "561-548-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "SUITE 210",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-548-1450",
            "fax_number": "561-548-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ANDREW",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME101686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281369600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANDREW.FISCHER@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "180 JFK Dr",
            "address_2": "SUITE 210",
            "city": "Atlantis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334626641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.