Keely Elizabeth Fischbach, M.D.

Key facts

NPI

1407155666

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

0101273000 (VA)

Practice address

1600 SW Archer Rd
Gainesville, FL 32610-8205

Phone

(352) 294-8278

Fax

(904) 348-5627

NPI assigned

Mar 26, 2011

Sex

Female

Sole proprietor

No

Organizations & group practices 40

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.

• Clarksville Physician Services PC Internal Medicine Physician · Corydon, IN · NPI 1811629546
  Medicare reassignment Care Compare group NPD IN · INTERNAL MEDICINE
• Crawford Physician Services, PLLC Hospitalist Physician · Van Buren, AR · NPI 1346029204
  Medicare reassignment Care Compare group NPD AR
• Gloversville Physician Medicine Services PC Hospitalist Physician · Gloversville, NY · NPI 1487907630
  Medicare reassignment Care Compare group NPD NY
• Grand Traverse Physician Services PC Hospitalist Physician · Traverse City, MI · NPI 1932913217
  Medicare reassignment Care Compare group NPD INTERNAL MEDICINE · MI
• Grenada Emergency Group, LLC Emergency Medicine Physician · Grenada, MS · NPI 1194388082
  Medicare reassignment Care Compare group NPD MS
• Hillsboro Area Hospital, Inc. Critical Access Hospital · Hillsboro, IL · NPI 1194705210
  Medicare reassignment Care Compare group NPD IL
• Hillsboro Area Hospital, Inc. Hospitalist Physician · Hillsboro, IL · NPI 1821078213
  Medicare reassignment Care Compare group NPD IL
• Midwest Hospitalist Physicians LLP Hospitalist Physician · Lima, OH · NPI 1891242319
  Medicare reassignment Care Compare group NPD MO · OH
• North Michigan Physician Services PC Hospitalist Physician · Charlevoix, MI · NPI 1972314821
  Medicare reassignment Care Compare group NPD INTERNAL MEDICINE · MI
• Peach Physician Services, PC Hospitalist Physician · Byron, GA · NPI 1235821752
  Medicare reassignment Care Compare group NPD GA
• St. Bernard Physician Services, LLC Hospitalist Physician · Chalmette, LA · NPI 1114432341
  Medicare reassignment Care Compare group LA
• Florida Hospital Physician Group Inc Family Medicine Physician · Tampa, FL · NPI 1174955256
  Medicare reassignment NPD FL · INTERNAL MEDICINE
• Lake Wales Physician Services, LLC Hospitalist Physician · Lake Wales, FL · NPI 1164902797
  Medicare reassignment NPD FL
• Bexar Physician Services, PLLC Internal Medicine Physician · San Antonio, TX · NPI 1730960998
  Medicare reassignment NPD INTERNAL MEDICINE · TX
• Carlinville Area Hospital Association Critical Access Hospital · Carlinville, IL · NPI 1053425124
  Medicare reassignment NPD IL
• Central Louisiana Physicians, LLC Internal Medicine Physician · Alexandria, LA · NPI 1417738675
  Medicare reassignment NPD INTERNAL MEDICINE · LA
• Comprehensive Hospitalists of Ms, LLC Hospitalist Physician · Amory, MS · NPI 1467856385
  Medicare reassignment NPD MS
• Forrest City Physician Services, PLLC Hospitalist Physician · Forrest City, AR · NPI 1154815181
  Medicare reassignment NPD AR
• Grenada Physician Services, LLC Hospitalist Physician · Grenada, MS · NPI 1932762721
  Medicare reassignment NPD MS
• Gulf Coast Physician Services, PLLC Internal Medicine Physician · Corpus Christi, TX · NPI 1922889187
  Medicare reassignment NPD INTERNAL MEDICINE · TX
• Hightower Physician Services, PC Hospitalist Physician · Thomaston, GA · NPI 1891296620
  Medicare reassignment NPD GA
• Ingleside Physician Services, LLC Hospitalist Physician · Low Moor, VA · NPI 1932693488
  Medicare reassignment NPD VA
• Jefferson Davis Physician Services, LLC Hospitalist Physician · Jennings, LA · NPI 1942679352
  Medicare reassignment NPD LA
• Jefferson Physician Services, PLLC Internal Medicine Physician · Beaumont, TX · NPI 1598546764
  Medicare reassignment NPD INTERNAL MEDICINE · TX
• Macoupin Physician Services, PC Hospitalist Physician · Carlinville, IL · NPI 1013686302
  Medicare reassignment NPD IL · INTERNAL MEDICINE

View all 40

Hospital & facility affiliations 7

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

• Baptist Health Regional Hospitals General Acute Care Hospital · Van Buren, AR · NPI 1154807584
  Care Compare affiliation Hospital
• Hillsboro Area Hospital, Inc. Medicare Defined Swing Bed Hospital Unit · Hillsboro, IL · NPI 1003896499
  Care Compare affiliation Nursing home
• Hillsboro Area Hospital, Inc. Critical Access Hospital · Hillsboro, IL · NPI 1194705210
  Care Compare affiliation Hospital
• Hillsboro Area Hospital, Inc. Rural Health Clinic/Center · Hillsboro, IL · NPI 1811774771
  Care Compare affiliation Hospital
• Munson Healthcare Manistee Hospital General Acute Care Hospital · Manistee, MI · NPI 1407949191
  Care Compare affiliation Hospital
• State of Mississippi - University of Mississippi Medical Center Critical Access Hospital · Lexington, MS · NPI 1386630705
  Care Compare affiliation Hospital
• State of Mississippi - University of Mississippi Medical Center Medicare Defined Swing Bed Hospital Unit · Lexington, MS · NPI 1700872173
  Care Compare affiliation Nursing home

Medicare Care Compare profile

Specialty

Internal Medicine

Education

University of South Florida College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midwest Hospitalist Physicians LLP (56 clinicians)
North Michigan Physician Services PC (66 clinicians)
Grand Traverse Physician Services PC (119 clinicians)
Clarksville Physician Services PC (31 clinicians)
Hillsboro Area Hospital, Inc. (37 clinicians)
Peach Physician Services, PC (16 clinicians)
Crawford Physician Services PLLC (6 clinicians)
Grenada Emergency Group, LLC (37 clinicians)
St. Bernard Physician Services, LLC (18 clinicians)
Gloversville Physician Medicine Services PC (24 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holmes County Hospital and Clinics Hospital · Lexington, MS · CCN 251319
• Hillsboro Area Hospital Hospital · Hillsboro, IL · CCN 141332
• Munson Healthcare Manistee Hospital Hospital · Manistee, MI · CCN 230303
• Baptist Health - Van Buren Hospital · Van Buren, AR · CCN 040018
• Hillsboro Area Hospital Nursing home · CCN 14Z332
• Holmes County Hospital and Clinics Nursing home · CCN 25Z319

Merit-based Incentive Payment System (MIPS)

Final score

83.94 of 100 (group)

Quality

67.75

Promoting interoperability

100

Improvement activities

40

Cost

71.17

Merit-based Incentive Payment System (MIPS)

Final score

90.99 of 100 (group)

Quality

80

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.37 of 100 (group)

Quality

77.5

Improvement activities

40

Cost

74.58

Merit-based Incentive Payment System (MIPS)

Final score

82.53 of 100 (group)

Quality

69.43

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled (13 enrollments) in FL, GA, OH, VA, NY, IN, IL, MO, MS, MI, AR, LA, TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 43)

Interoperability endpoints

• Direct secure messaging: kfischback138225@mymichiganhealth.midirect.net
• FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 20, 2023.

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1407155666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314004",
            "telephone_number": "904-202-1032",
            "fax_number": "904-348-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326108205",
            "telephone_number": "352-294-8278",
            "fax_number": "904-348-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHBACH",
        "first_name": "KEELY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-26",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301500649",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.134374",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117183",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01088492A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.162510",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101273000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011168400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01366911",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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