Active NPI
Jason David Fisher, D.O.
- Urology Physician
- Corpus Christi, TX
National Provider Identifier
1417154154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- L1149222
- Practice address
- 601 Texan TRL Ste 100
Corpus Christi, TX 78411-2548 - Phone
- (361) 884-6381
- Fax
- (361) 882-7716
- NPI assigned
- Jun 27, 2007
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | L1149222 | MI | Primary |
Addresses
Primary practice location
601 Texan TRL Ste 100
Corpus Christi, TX 78411-2548
Mailing address
601 Texan TRL Ste 100
Corpus Christi, TX 78411-2548
Phone (361) 884-6381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20130826000032 | TX | Practitioner - Urology | 1557504461 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Corpus Christi Urology Group PLLC
Practice addresses (Care Compare)
601 Texan TRL
Suite 100
Corpus Christi, TX 78411-2548
Phone (361) 561-4106
Hospital & facility affiliations
- Mi Familia Home Health
- Christus Spohn Hospital Corpus Christi
- Corpus Christi Medical Center,the
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1149222 | MI | MD | Urology Physician |
Interoperability endpoints
- jasonfisher@ccug.medalliesdirect.net
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 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1508810573
Hospital
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
Hospital
-
- Home Health Agency
- Corpus Christi, TX
- NPI 1821242348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1417154154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 TEXAN TRL STE 100",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112548",
"telephone_number": "361-884-6381",
"fax_number": "361-882-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 TEXAN TRL STE 100",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112548",
"telephone_number": "361-884-6381",
"fax_number": "361-882-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JASON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "L1149222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.