Individual provider Active NPI

Tim Alexander Fischell, MD

  • Interventional Cardiology Physician
  • Kalamazoo, MI
National Provider Identifier
1891771440
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301068581 Issued in MI
Practice address
1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone
(269) 381-3963
Fax
(269) 381-2809
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 4301068581 MI Primary

Addresses

Primary practice location

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633

Mailing address

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone (269) 381-3963

Other identifiers 1

IdentifierTypeStateIssuer
3265770MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 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
I20070425000486 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052416740 Reassigns benefits to 1 organization
I20250522000619 AZ Practitioner - Internal Medicine 1052416740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 348-4000

1722 Shaffer St
Kalamazoo, MI 49048-1633
Phone (269) 343-1555

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Internal Medicine CurrentSince Feb 1, 2011 Accepting new patients
Ascension Medical Group Promed Family Medicine Current Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince May 4, 2025 Accepting new patients
Promed Healthcare CurrentSince Feb 1, 2011 Accepting new patients
Premier Medical Care P C Past Accepting new patients

Locations

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Interoperability endpoints

  • Direct secure messaging: tfischell10469@direct.bronsonhg.org

Organizations & group practices 5

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 4

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891771440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963",
            "fax_number": "269-381-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963",
            "fax_number": "269-381-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHELL",
        "first_name": "TIM",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301068581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3265770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.