NPIMap

Individual provider Active NPI

Robert Ray Fish, MD

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1760640437
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2013-02462 Issued in NC
Practice address
3643 N Roxboro St
Durham, NC 27704
Phone
(919) 470-5277
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2013-02462 NC Primary

Addresses

Primary practice location

3643 N Roxboro St
Durham, NC 27704

Mailing address

1121 Situs CT Ste 170
Raleigh, NC 27606-4279
Phone (919) 834-2767

Other practice location 1

1600 SW Archer Rd
UF at SHANDS
Gainesville, FL 32610-3003
Phone (352) 265-0291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140814000708 NC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8022246164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Brody School of Medicine at East Carolina University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durham Radiology Associates IncGroup PAC ID 7719974807, 18 clinicians

Practice addresses (Care Compare)

3643 N Roxboro Rd
Durham, NC 27704-2702
Phone (919) 471-4840

Hospital & facility affiliations

  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155
  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Durham Regional Hospital Inpatient rehabilitation facility, Durham, NC, CCN 34T155

Merit-based Incentive Payment System (MIPS)

Final score
75.17 of 100Reported as individual
Quality
85.58
Improvement activities
0
Cost
76.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-02462NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Durham Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

3643 N Roxboro St
Fl 6
Durham, NC 27704
Phone (919) 470-9159

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

1121 Situs Ct
Ste 170
Raleigh, NC 27606
Phone (919) 834-2767

Interoperability endpoints

  • Direct secure messaging: rfish225398@direct.medicine.duke.edu

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.

Hospital & facility affiliations 9

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1760640437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 SITUS CT STE 170",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064279",
            "telephone_number": "919-834-2767",
            "fax_number": "919-851-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-470-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_2": "UF at SHANDS",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISH",
        "first_name": "ROBERT",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2013-02462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.