Active NPI
Robert M Fishman, DO
- Internal Medicine Physician
- South Hadley, MA
National Provider Identifier
1477669539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 59580
- Practice address
- 129 College St
South Hadley, MA 01075-1388 - Phone
- (413) 538-5620
- Fax
- (413) 538-6026
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 59580 | MA | Primary |
Addresses
Primary practice location
129 College St
South Hadley, MA 01075-1388
Mailing address
129 College St
South Hadley, MA 01075-1388
Phone (413) 538-5620
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 720299 | Other | CONNECTICARE | |
| 31545 | Other | HARVARD PILGRIM | |
| 100612 | Other | CIGNA | |
| 3032922 | Medicaid | MA | |
| 000000022243 | Other | BMC HEALTHNET PLAN | |
| 12373 | Other | HEALTH NEW ENGLAND | |
| 76510 | Other | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holyoke Medical Center, Inc. | Past | Accepting new patients | |
| Western Mass Physician Associates Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
- Internal Medicine Physician
- Westfield, MA
- NPI 1366087363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1477669539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 COLLEGE ST",
"city": "SOUTH HADLEY",
"state": "MA",
"postal_code": "010751388",
"telephone_number": "413-538-5620",
"fax_number": "413-538-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 COLLEGE ST",
"city": "SOUTH HADLEY",
"state": "MA",
"postal_code": "010751388",
"telephone_number": "413-538-5620",
"fax_number": "413-538-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "59580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "720299",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "31545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "100612",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3032922",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "000000022243",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "12373",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "76510",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.