Individual provider Active NPI

Jason David Fisher, D.O.

  • Urology Physician
  • Corpus Christi, TX
National Provider Identifier
1417154154
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L1149222 Issued in MI
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

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 0749239655, 12 clinicians

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 Home health agency, Corpus Christi, TX, CCN 747628
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1149222MIMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.