Active NPI
Samuel Fischer III, M.D.
- Dermatology Physician
- Birmingham, AL
National Provider Identifier
1629033238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 3346
- Practice address
- 1517 4TH Ave South
Birmingham, AL 35233-1616 - Phone
- (205) 322-5498
- Fax
- (205) 322-5523
- NPI assigned
- Apr 18, 2006
- Last updated
- Mar 28, 2019
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 3346 | AL | Primary |
Addresses
Primary practice location
1517 4TH Ave South
Birmingham, AL 35233-1616
Mailing address
P.O. Box 55119
Birmingham, AL 35255-5119
Phone (205) 322-5498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070503000272 | AL | Practitioner - Dermatology | 2062518384 | Practice locations: Birmingham, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Alabama School of Medicine, 1963
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1517 4TH S Ave
Birmingham, AL 35233-1612
Phone (205) 322-5498
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 69 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3346 | AL | MD | Dermatology Physician |
Networks
- bcbs alabama network 01H0
- bcbs alabama network 01E0
- bcbs alabama network 01G0
- bcbs alabama network 01B0
- bcbs alabama network 01A0
- bcbs alabama network 01I0
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1629033238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 55119",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555119",
"telephone_number": "205-322-5498",
"fax_number": "205-322-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 4TH AVE SOUTH",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331616",
"telephone_number": "205-322-5498",
"fax_number": "205-322-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AL",
"license": "3346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.