Individual provider Active NPI

Marc Alan Fisher, D.P.M.

  • Podiatrist
  • Westfield, MA
National Provider Identifier
1710933478
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1588 Issued in MA
Practice address
48 E Silver St
Westfield, MA 01085-4449
Phone
(413) 562-5611
Fax
(413) 562-5622
NPI assigned
May 25, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1588 MA Primary

Addresses

Primary practice location

48 E Silver St
Westfield, MA 01085-4449

Mailing address

48 E Silver St
Westfield, MA 01085-4449
Phone (413) 562-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000006 MA Practitioner - Podiatry 9537352166 Reassigns benefits to 1 organization
Practice locations: Westfield, MA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
88.82 of 100Reported as group
Quality
81.31
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1588MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Podiatry Associates PC Podiatrist CurrentSince Sep 1, 2024 Accepting new patients
Valley Podiatry Associates PC Podiatrist PastSince Sep 1, 2024 Accepting new patients

Locations

81 Willimansett St
South Hadley, MA 01075
Phone (413) 536-0289

1984 Boston Rd
Wilbraham, MA 01095
Phone (413) 682-0031

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHEEBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1710933478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 E SILVER ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854449",
            "telephone_number": "413-562-5611",
            "fax_number": "413-562-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E SILVER ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854449",
            "telephone_number": "413-562-5611",
            "fax_number": "413-562-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.