Individual provider Active NPI

Dane Andrew Fisher, MD

  • Diagnostic Radiology Physician
  • JB Langley-Eustis, VA
National Provider Identifier
1730545120
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101262898 Issued in VA
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

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230131001214 CA Practitioner - Diagnostic Radiology 4284928037 Reassigns benefits to 2 organizations
I20230712000344 VA Practitioner - Diagnostic Radiology 4284928037 Reassigns benefits to 3 organizations

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
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

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

LicenseStateTypeSpecialty
A180422CAMDDiagnostic Radiology Physician
0101262898VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jan 20, 2023 Accepting new patients
Sentara Medical Group CurrentSince May 17, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 20, 2023 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 20, 2023 Accepting new patients
University of California San Francisco CurrentSince Jan 20, 2023 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Dec 19, 2024 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Dec 19, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.