Active NPI
Philip E Fidler, M.D.
- Surgery Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R8186
- Practice address
- 1600 Coit Rd Ste 305
Plano, TX 75075-6172 - Phone
- (706) 863-9595
- Fax
- (706) 868-8375
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 19524 | NV | |
| Surgical Critical Care Physician | 2086S0102X | R8186 | TX | |
| Surgical Critical Care Physician | 2086S0102X | 0101273072 | VA | |
| Surgical Critical Care Physician | 2086S0102X | 10838A | WY | |
| Surgical Critical Care Physician | 2086S0102X | ME152606 | FL | |
| Surgical Critical Care Physician | 2086S0102X | CDRH.0055039 | CO | |
| Surgical Critical Care Physician | 2086S0102X | MD0000064204 | TN | |
| Surgical Critical Care Physician | 2086S0102X | MC-0432 | ID | |
| Surgical Critical Care Physician | 2086S0102X | 73960 | GA | |
| Surgical Critical Care Physician | 2086S0102X | 27572 | MS | |
| Surgery Physician | 208600000X | R8186 | TX | Primary |
Addresses
Primary practice location
1600 Coit Rd Ste 305
Plano, TX 75075-6172
Mailing address
PO Box 12187
Augusta, GA 30914-2187
Phone (706) 863-9595
Other practice location 1
3901 W 15th St
Plano, TX 75075-7738
Phone (706) 863-9595
Other practice location 2
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (855) 863-9595
Other practice location 3
13472 Eastlake Blvd Ste A
Horizon City, TX 79928-6320
Phone (915) 313-6300
Other practice location 4
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MS, AZ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5300
Hospital & facility affiliations
- University Medical Center of El Paso
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME152606 | FL | MD | Surgical Critical Care Physician |
| 73960 | GA | MD | Surgical Critical Care Physician |
| MC-0432 | ID | MD | Surgical Critical Care Physician |
| MD0000064204 | TN | MD | Surgical Critical Care Physician |
| 10838A | WY | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Surgery | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Mississippi Burn, Hand and Reconstruction Centers PC | Surgery | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Odessa | Family Medicine | Past | Accepting new patients |
Locations
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1225 N State St
Ste 103
Jackson, MS 39202
Phone (769) 268-6520
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
Interoperability endpoints
- pfidler255990@direct.valleywisehealth.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Surgery Physician
- Plano, TX
- NPI 1316325905
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Surgery Physician
- El Paso, TX
- NPI 1538240478
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1356674469
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1689643637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12187",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309142187",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 COIT RD STE 305",
"city": "PLANO",
"state": "TX",
"postal_code": "750756172",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
}
],
"practiceLocations": [
{
"address_1": "3901 W 15th St",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750757738",
"country_code": "US",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 Chadwick Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392043404",
"country_code": "US",
"telephone_number": "855-863-9595",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13472 Eastlake Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Horizon City",
"state": "TX",
"postal_code": "799286320",
"country_code": "US",
"telephone_number": "915-313-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 Alberta Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052707",
"country_code": "US",
"telephone_number": "915-215-5300",
"fax_number": "915-215-8606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIDLER",
"first_name": "PHILIP",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NV",
"license": "19524",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "R8186",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "VA",
"license": "0101273072",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "WY",
"license": "10838A",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME152606",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CO",
"license": "CDRH.0055039",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TN",
"license": "MD0000064204",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "ID",
"license": "MC-0432",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "GA",
"license": "73960",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MS",
"license": "27572",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "R8186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.