Individual provider Active NPI

Kimberly Lynn Fischer, M.D.

  • Urology Physician
  • White Marsh, VA
National Provider Identifier
1770744963
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101245695 Issued in VA
Practice address
4844 George Washington Memorial Highway
Suite 8
White Marsh, VA 23183
Phone
(804) 693-4410
Fax
(804) 693-0925
NPI assigned
Jun 19, 2008
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036144769 IL
Urology Physician 208800000X 0101245695 VA Primary
Urology Physician 208800000X 152716 CA

Addresses

Primary practice location

4844 George Washington Memorial Highway
Suite 8
White Marsh, VA 23183

Mailing address

4844 George Washington Memorial Highway
Suite 8
White Marsh, VA 23183
Phone (804) 693-4410

Other practice location 1

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone (619) 532-7200

Other practice location 2

10350 Haligus Rd Ste 200
Huntley, IL 60142-9545
Phone (815) 338-6600

Other practice location 3

225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240109000369 VA Practitioner - Urology 6608099320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6877

704 Thimble Shoals Blvd
300A
Newport News, VA 23606-4554
Phone (757) 595-4300

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.25 of 100Reported as group
Quality
57.23
Promoting interoperability
100
Improvement activities
40
Cost
73.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152716CAMDUrology Physician
036144769ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Mar 1, 2025 Accepting new patients
Urology of Virginia, PLLC Urology CurrentSince Dec 27, 2023 Accepting new patients
Tidewater Physicians Multispecialty Group PC Urology CurrentSince Mar 1, 2025 Accepting new patients
Urology of Virginia, PLLC Urology CurrentSince Dec 27, 2023 Accepting new patients

Locations

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

827 Diligence Dr
Ste 100
Newport News, VA 23606

225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459

Interoperability endpoints

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

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1770744963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 GEORGE WASHINGTON MEMORIAL HIGHWAY",
            "address_2": "SUITE 8",
            "city": "WHITE MARSH",
            "state": "VA",
            "postal_code": "23183",
            "telephone_number": "804-693-4410",
            "fax_number": "804-693-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4844 GEORGE WASHINGTON MEMORIAL HIGHWAY",
            "address_2": "SUITE 8",
            "city": "WHITE MARSH",
            "state": "VA",
            "postal_code": "23183",
            "telephone_number": "804-693-4410",
            "fax_number": "804-693-0925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921341098",
            "country_code": "US",
            "telephone_number": "619-532-7200",
            "fax_number": "619-532-7234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 Haligus Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429545",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Clearfield Ave",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621815",
            "country_code": "US",
            "telephone_number": "757-457-5100",
            "fax_number": "757-961-3696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036144769",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101245695",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "152716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Marsh, VA

Sources for this page

Verify at the official NPI Registry.