NPIMap

Individual provider Active NPI

Michael Kalman Fishman, M.D.

  • Surgery Physician
  • Sellersville, PA
National Provider Identifier
1447454269
Registry record updated Sep 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD436456 Issued in PA
Practice address
915 Lawn Ave
Suite 203
Sellersville, PA 18960-1551
Phone
(215) 257-3697
Fax
(215) 453-3410
NPI assigned
Jun 14, 2007
Last updated
Sep 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD436456 PA Primary

Addresses

Primary practice location

915 Lawn Ave
Suite 203
Sellersville, PA 18960-1551

Mailing address

PO Box 1111
Harleysville, PA 19438-0907
Phone (215) 453-4995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100714000515 PA Practitioner - General Surgery 0840322657 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Grand View HospitalGroup PAC ID 8022001924, shared by 27 NPIs, 94 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

700 Horizon Dr
Suite 201
Chalfont, PA 18914-3967
Phone (215) 453-2510

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

915 Lawn Ave
Sellersville, PA 18960-1551

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)76
Upper gastrointestinal (GI) endoscopy for acid reflux26
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD436456PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital CurrentSince Feb 2, 2019 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Grand View Hospital Surgery CurrentSince Nov 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Grand View Hospital Past Accepting new patients

Locations

700 Horizon Dr
Ste 201
Chalfont, PA 18914
Phone (215) 453-2510

99 N West End Blvd
Ste 102
Quakertown, PA 18951
Phone (215) 538-0202

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

915 Lawn Ave
Ste 203
Sellersville, PA 18960
Phone (215) 257-3697

Interoperability endpoints

  • Direct secure messaging: mfishman346236@direct-sluhn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474761600000",
    "number": "1447454269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194380907",
            "telephone_number": "215-453-4995",
            "fax_number": "215-453-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 LAWN AVE",
            "address_2": "SUITE 203",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601551",
            "telephone_number": "215-257-3697",
            "fax_number": "215-453-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "MICHAEL",
        "middle_name": "KALMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD436456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.