Individual provider Active NPI

Paul Daniel Fisher, MD

  • Pediatric Radiology Physician
  • New York, NY
National Provider Identifier
1619932894
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
315370 Issued in NY
Practice address
1468 Madison Ave
New York, NY 10029-6508
Phone
(212) 241-9870
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X DR.0071499 CO
Pediatric Radiology Physician 2085P0229X 0101280173 VA
Pediatric Radiology Physician 2085P0229X ME82697 FL
Pediatric Radiology Physician 2085P0229X 315370 NY Primary
Pediatric Radiology Physician 2085P0229X 036-166427 IL

Addresses

Primary practice location

1468 Madison Ave
New York, NY 10029-6508

Mailing address

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-8333

Other practice location 1

13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

Other practice location 2

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (303) 436-2727

Other practice location 3

601 Childrens Ln
Norfolk, VA 23507-1910
Phone (757) 668-7000

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address pfisher387247@direct.myadvocateaurora.org Direct
Direct Messaging Address pfisher10849@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, KY, CA, TN, IL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20051222000246 FL Practitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 8527080258 Reassigns benefits to 1 organization
I20220831001960 NY Practitioner - Diagnostic Radiology 8527080258 Reassigns benefits to 8 organizations
I20231211002308 KY Practitioner - Diagnostic Radiology 8527080258 Reassigns benefits to 1 organization
I20240502002094 CA Practitioner - Diagnostic Radiology 8527080258 Reassigns benefits to 2 organizations
I20240725000353 TN Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 8527080258 Reassigns benefits to 1 organization
I20260414001542 IL Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 8527080258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

New York, NY 10029-6503
Phone (212) 241-8395

Louisville, KY 40202-1821
Phone (502) 629-1234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0071499COMDPediatric Radiology Physician
036-166427ILMDPediatric Radiology Physician
315370NYMDPediatric Radiology Physician
0101280173VAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Apr 18, 2024 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Dec 1, 2023 Accepting new patients
Mount Sinai School of Medicine of New York University CurrentSince Jan 12, 2026 Accepting new patients
Mori Bean and Brooks Inc Pediatric Radiology CurrentSince Oct 1, 2025 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Pediatric Radiology CurrentSince May 12, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 18, 2024 Accepting new patients
Kaleida Health CurrentSince Jan 25, 2025 Accepting new patients
Kaleida Health Current Accepting new patients
Fpa Hospital Based CurrentSince Sep 1, 2022 Accepting new patients
Fpa Hospital Based Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology Current Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
University Physicians, Incorporated CurrentSince Jan 1, 2025 Accepting new patients
Norton Children'S Medical Group, LLC Pediatric Radiology CurrentSince Dec 1, 2023 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Dec 14, 2022 Accepting new patients
Mount Sinai School of Medicine of New York University CurrentSince Jan 12, 2026 Accepting new patients
University Physicians Incorporated CurrentSince Jan 1, 2025 Accepting new patients
University of California San Francisco CurrentSince Apr 18, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 18, 2024 Accepting new patients
Kaleida Health CurrentSince Jan 25, 2025 Accepting new patients
Radiology Associates of Hollywood, Inc. Diagnostic Radiology Past Accepting new patients
Inphynet South Broward LLC Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Empire State Radiology P C Diagnostic Radiology Past Accepting new patients

Locations (25 of 29)

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

Dept 1061
Denver, CO 80256

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

1005 N 35th Ave
Hollywood, FL 33021
Phone (954) 265-5324

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

500 N Hiatus Rd
Ste 200
Pembroke Pines, FL 33026
Phone 9544374800 ext. 2133

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: pfisher387247@direct.myadvocateaurora.org
  • Direct secure messaging: pfisher10849@mhsdirect.net

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 11

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1619932894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-241-9870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13123 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681143",
            "country_code": "US",
            "telephone_number": "303-436-2727",
            "fax_number": "303-436-2710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Childrens Ln",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071910",
            "country_code": "US",
            "telephone_number": "757-668-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "PAUL",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CO",
            "license": "DR.0071499",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101280173",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "FL",
            "license": "ME82697",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NY",
            "license": "315370",
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "IL",
            "license": "036-166427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfisher387247@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfisher10849@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "3501 Johnson St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.