Active NPI
David L. Fischman, M.D.
- Interventional Cardiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD041562E
- Practice address
- 111 S 11TH St
Philadelphia, PA 19107-4824 - Phone
- (215) 955-5050
- NPI assigned
- Jul 25, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD041562E | PA | |
| Interventional Cardiology Physician | 207RI0011X | MD041562E | PA | Primary |
| Internal Medicine Physician | 207R00000X | MD041562E | PA |
Addresses
Primary practice location
111 S 11TH St
Philadelphia, PA 19107-4824
Mailing address
925 Chestnut Street
Mezzanine Floor
Philadelphia, PA 19107-4201
Phone (215) 955-5050
Other practice location 1
925 Chestnut Street
Mezzanine Floor
Philadelphia, PA 19107-4201
Phone (215) 955-5050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001258580 | Medicaid | PA | |
| 7431309 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- New York Medical College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
925 Chestnut St
Mezzanine
Philadelphia, PA 19107-4290
Phone (215) 955-5050
Hospital & facility affiliations
- Thomas Jefferson University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041562E | PA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians of New Jersey, P.C. | Internal Medicine | Current | Accepting new patients |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
443 Laurel Oak Rd
Ste 100
Voorhees, NJ 08043
Phone (215) 955-5050
443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122
1025 Walnut St
Rm 827
Philadelphia, PA 19107
Phone (215) 662-3914
Organizations & group practices 3
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Internal Medicine Physician
- Voorhees, NJ
- NPI 1083039200
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1689697484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 CHESTNUT STREET",
"address_2": "MEZZANINE FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074201",
"telephone_number": "215-955-5050",
"fax_number": "215-955-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-5050"
}
],
"practiceLocations": [
{
"address_1": "925 Chestnut Street",
"address_2": "Mezzanine Floor",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074201",
"country_code": "US",
"telephone_number": "215-955-5050",
"fax_number": "215-955-7499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCHMAN",
"first_name": "DAVID",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD041562E",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PA",
"license": "MD041562E",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD041562E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001258580",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7431309",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.