Individual provider Active NPI

Bruce L Fisher, MD

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1508854266
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
23170 Issued in KY
Practice address
3920 Dutchmans LN Ste 316
Louisville, KY 40207-4702
Phone
(502) 585-4321
Fax
(502) 566-6338
NPI assigned
Oct 7, 2005
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01039993A IN
Cardiovascular Disease Physician 207RC0000X 23170 KY Primary

Addresses

Primary practice location

3920 Dutchmans LN Ste 316
Louisville, KY 40207-4702

Mailing address

100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 585-4321

Other identifiers 5

IdentifierTypeStateIssuer
64231707MedicaidKY
200009600MedicaidIN
060014169OtherINRAILROAD MEDICARE
060057270OtherKYRAILROAD MEDICARE
P00258374OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050331001212 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981598687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Maryland School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Abraham Flexner Way
Louisville, KY 40202-1886
Phone (502) 587-4401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01039993AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Medical Center Cardiologists, PSC Cardiovascular Disease PastSince Aug 4, 2004 Accepting new patients
Cardiac Care Center of Louisville, PLLC Cardiovascular Disease PastSince Jul 1, 2007 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Medical Center Cardiologists, PSC Cardiovascular Disease Past Accepting new patients
Medical Center Cardiologists, PSC Cardiovascular Disease Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

213 Hunter Station Rd
Sellersburg, IN 47172
Phone (812) 248-2560

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

225 Abraham Flexner Way
Ste 305
Louisville, KY 40202
Phone (800) 553-1799

3920 Dutchmans Ln
Ste 316
Louisville, KY 40207
Phone (502) 899-1213

3920 Dutchmans Ln
Ste 800
Louisville, KY 40207

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: bfisher13683@uoflhealth-dm.org

Organizations & group practices 8

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 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1508854266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-585-4321",
            "fax_number": "502-566-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN STE 316",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-585-4321",
            "fax_number": "502-566-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BRUCE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01039993A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "23170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64231707",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009600",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060014169",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060057270",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00258374",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.