Active NPI
Dane Andrew Fisher, MD
- Diagnostic Radiology Physician
- JB Langley-Eustis, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101262898
- Practice address
- 633 MDG Nealy Avenue
JB Langley-Eustis, VA 23665-2040 - Phone
- (757) 225-7630
- NPI assigned
- Jan 14, 2016
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A180422 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 0101262898 | VA | Primary |
Addresses
Primary practice location
633 MDG Nealy Avenue
JB Langley-Eustis, VA 23665-2040
Mailing address
633 MDG Nealy Avenue
JB Langley-Eustis, VA 23665-2040
Other practice location 1
101 Bodin Cir
Travis AFB, CA 94535-1809
Phone (707) 423-3541
Other practice location 2
505 Parnassus Ave # M391
San Francisco, CA 94143-2204
Phone (415) 476-1575
Other practice location 3
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, VA
- 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
- Diagnostic Radiology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Medical Pkwy
FL 2
Chesapeake, VA 23320-0302
Phone (757) 312-4047
1705 Lovetts Pond LN
Virginia Beach, VA 23454-1147
Phone (480) 306-6949
2019 Farringdon Rd
Keswick, VA 22947-9202
Phone (480) 306-6949
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3934
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A180422 | CA | MD | Diagnostic Radiology Physician |
| 0101262898 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Current | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
505 Parnassus Ave
#M391
San Francisco, CA 94143
Phone (415) 476-1537
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
111 Medical Pkwy
Fl 2
Chesapeake, VA 23320
Phone (757) 312-4047
300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Interoperability endpoints
- dane.fisher.1@5072.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Surgery Physician
- Chesapeake, VA
- NPI 1699940270
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
VA
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba Chesapeake Regional Urgent Care
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1255215133
-
dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
dba UCSF Surgical Group
- Surgery Physician
- San Francisco, CA
- NPI 1346329380
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chesapeake Regional Surgery Center at Virginia Beach
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
dba Chesapeake General Professional Pharmacy
- Pharmacy
- Chesapeake, VA
- NPI 1558466318
Hospital
-
dba Chesapeake General Hospital
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
dba Sentara Careplex Hospital
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
dba Sentara Norfolk General Hospital
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
dba Sentara Virginia Beach General Hospital
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1730545120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 MDG NEALY AVENUE",
"city": "JB LANGLEY-EUSTIS",
"state": "VA",
"postal_code": "236652040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 MDG NEALY AVENUE",
"city": "JB LANGLEY-EUSTIS",
"state": "VA",
"postal_code": "236652040",
"telephone_number": "757-225-7630"
}
],
"practiceLocations": [
{
"address_1": "101 Bodin Cir",
"address_purpose": "LOCATION",
"city": "Travis AFB",
"state": "CA",
"postal_code": "945351809",
"country_code": "US",
"telephone_number": "707-423-3541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 Parnassus Ave # M391",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432204",
"country_code": "US",
"telephone_number": "415-476-1575",
"fax_number": "415-476-0616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Gresham Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-8870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "DANE",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-14",
"last_updated": "2025-03-04",
"certification_date": "2025-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A180422",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101262898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.