Avital Fischer, M.D
Individual provider Active NPI Pediatrics Physician · Portland, ME
NPI 1679969224 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1679969224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD26125 (ME)
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-0111
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Hospice/Palliative Care
- Education
- Boston University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
144 US Route 1
Suite 2
Scarborough, ME 04074-7219
Phone (207) 396-7606
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180920001558 | NY | Practitioner - Pediatric Medicine | 4981955572 | Reassigns benefits to 2 organizations |
| I20220928001738 | ME | Practitioner - Hospice/Palliative Care |
4981955572 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Pediatrics | Current |
Accepting new patients |
| Mainehealth | Current |
Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Pediatrics | Current |
Accepting new patients |
| Mainehealth | Current |
Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
Ph 5505
New York, NY 10032
Phone (212) 305-6494
630 W 168th St
New York, NY 10032
Phone (212) 305-1948
2026 Richmond Rd
Staten Island, NY 10306
Phone (212) 305-2300
Interoperability endpoints
- avf9010@direct.weillcornell.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- afischer556451@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD26125 | ME | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
2301 Erwin Rd
Durham, NC 27705-4699
Other providers in Portland, ME
- Michael T. Finke
- Caroline Finn
- Kiirsten Finn
- First Light Counseling, LLC
- Nicole Firth
- Dawn Fischer
- Gregory John Fisher
- Jennifer H Fisher
- Karen Dubbs Fisher
- Kelsey Fisher
All providers in Portland, ME · Pediatrics Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.