Individual provider Active NPI

James R Fishman, M.D

  • Urology Physician
  • Phoenix, AZ
National Provider Identifier
1417929506
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21166 Issued in AZ
Practice address
9100 N 2ND St Ste 201
Phoenix, AZ 85020
Phone
(602) 242-1556
Fax
(602) 242-1597
NPI assigned
Feb 3, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 21166 AZ Primary

Addresses

Primary practice location

9100 N 2ND St Ste 201
Phoenix, AZ 85020

Mailing address

9100 N 2ND St Ste 201
Phoenix, AZ 85020-2450
Phone (602) 242-1556

Other identifiers 3

IdentifierTypeStateIssuer
130873OtherAZAHCCCS NUMBER
MICA-00855OtherAZMICA
21166OtherAZAZ LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040525000239 AZ Practitioner - Urology 2466442710 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arizona Urologists, LTD Urology CurrentSince Apr 1, 1993 Accepting new patients

Locations

1728 W Glendale Ave
Ste 204
Phoenix, AZ 85021
Phone (602) 242-1556

3805 E Bell Rd
Ste 4100
Phoenix, AZ 85032
Phone (602) 258-5748

9100 N 2nd St
Ste 201
Phoenix, AZ 85020
Phone (602) 242-1556

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1417929506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202450",
            "telephone_number": "602-242-1556",
            "fax_number": "602-242-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-242-1556",
            "fax_number": "602-242-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "21166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS NUMBER",
            "identifier": "130873",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICA",
            "identifier": "MICA-00855",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "21166",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.