Individual provider Active NPI

Michelle Fisher, MD

  • Otolaryngology Physician
  • Riverview, FL
National Provider Identifier
1629399985
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME125928 Issued in FL
Practice address
Florida ENT & Allergy
13015 Summerfield Square Dr
Riverview, FL 33578-7402
Phone
(813) 879-8045
Fax
(855) 388-5356
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125-058029 IL
Otolaryngology Physician 207Y00000X ME125928 FL Primary
Otolaryngology Physician 207Y00000X 4854 GA

Addresses

Primary practice location

Florida ENT & Allergy
13015 Summerfield Square Dr
Riverview, FL 33578-7402

Mailing address

Select Physicians Alliance
10002 Princess Palm Ave. Ste 332
Tampa, FL 33619-8327
Phone (813) 571-7184

Other identifiers 1

IdentifierTypeStateIssuer
017607600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160818001812 FL Practitioner - Otolaryngology 5496994352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rush Medical College of Rush University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

13015 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 879-8045

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as individual
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-058029ILMDSurgery Physician
4854GAMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates of Florida, LLC Otolaryngology CurrentSince Feb 1, 2021 Accepting new patients

Locations

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

1139 Nikki View Dr
Brandon, FL 33511
Phone (813) 685-7761

1303 Mosley Dr
Lynn Haven, FL 32444
Phone (850) 271-5996

8501 SW 124th Ave
Ste 312
Miami, FL 33183
Phone (305) 485-7881

511 W Alexander St
Ste 1
Plant City, FL 33563
Phone (813) 752-2440

13015 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 879-8046

13015 Summerfield Square Dr
Fl Ent
Riverview, FL 33578

4655 Keysville Ave
Spring Hill, FL 34608
Phone (352) 666-1913

5105 N Armenia Ave
Tampa, FL 33603
Phone 81387980451213

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1629399985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SELECT PHYSICIANS ALLIANCE",
            "address_2": "10002 PRINCESS PALM AVE. STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198327",
            "telephone_number": "813-571-7184",
            "fax_number": "813-654-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA ENT & ALLERGY",
            "address_2": "13015 SUMMERFIELD SQUARE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787402",
            "telephone_number": "813-879-8045",
            "fax_number": "855-388-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125-058029",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME125928",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "4854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017607600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.