Individual provider Active NPI

Mark Fisher, M.D.

  • Plastic Surgery Physician
  • Westport, CT
National Provider Identifier
1740608231
Registry record updated Mar 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
68599 Issued in CT
Practice address
1391 Post Rd E FL 2
Westport, CT 06880-5508
Phone
(203) 557-4356
Fax
(203) 557-6077
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD047885 DC
Plastic Surgery Physician 208200000X 68599 CT Primary

Addresses

Primary practice location

1391 Post Rd E FL 2
Westport, CT 06880-5508

Mailing address

1391 Post Rd E FL 2
Westport, CT 06880-5508
Phone (203) 557-4356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210719000952 CT Practitioner - Plastic and Reconstructive Surgery 0244575587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Johns Hopkins University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1391 Post Rd E
FL 2
Westport, CT 06880-5508
Phone (203) 557-4356

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68599CTMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Plastic Surgery Associates LLC CurrentSince Aug 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

131 Kings Hwy N
Westport, CT 06880
Phone (203) 221-0102

1391 Post Rd E
#2
Westport, CT 06880
Phone (203) 557-4356

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mark.fisher@xdr.hhchealthdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1740608231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 POST RD E FL 2",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805508",
            "telephone_number": "203-557-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 POST RD E FL 2",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805508",
            "telephone_number": "203-557-4356",
            "fax_number": "203-557-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DC",
            "license": "MD047885",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "68599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.