Ian M Fisher, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Practice address

820 E Terra Cotta Ave
#129 136 Open Advanced MRI of Crystal Lake LLC
Crystal Lake, IL 60014

Phone

(815) 444-1330

Fax

(815) 444-1249

NPI assigned

Jul 24, 2006

Last updated

Feb 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MI2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Howard Simon MD PLLC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1659930998
  Medicare reassignment NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment NPD
• Basha Diagnostics P C

  • Diagnostic Radiology Physician
  • Royal Oak, MI
  • NPI 1770693798

  IL

  Medicare reassignment NPD
• Smi Imaging, LLC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  IL

  Medicare reassignment NPD
• Envision Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • Schaumburg, IL
  • NPI 1649769746
  NPD
• Insight Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • Lisle, IL
  • NPI 1134605165
  NPD
• Morton Grove Medical Imaging, LLC

  dba 3T Imaging of Morton Grove

  • Radiology Clinic/Center
  • Morton Grove, IL
  • NPI 1366490740

  Diagnostic Radiology

  NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1952449456
  NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD
• Naperville Medical Imaging LLC

  • Radiology Clinic/Center
  • Naperville, IL
  • NPI 1164614772
  NPD
• Prime Medical Imaging, LLC

  • Physiological Laboratory
  • Mokena, IL
  • NPI 1962974527

  Diagnostic Radiology

  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1902828197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S 70TH ST",
            "address_2": "#N500",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53214",
            "telephone_number": "414-455-4780",
            "fax_number": "414-475-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E TERRA COTTA AVE",
            "address_2": "#129 136 OPEN ADVANCED MRI OF CRYSTAL LAKE LLC",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-444-1330",
            "fax_number": "815-444-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "IAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jami Lynne Finch-Derro
• Kaitlan O Finn
• Amy Marie Finnerty, MS CCC-SLP-L
• First Choice Family Health
• First Smiles Dental, PC
• Michelle M Fisher, LCSW
• Tekeesha Lynn Fisher
• Tracy Fisher
• Michael Martin Fishkin, C.PED
• Patricia Ann Fishman, RN, LMFT

• Diagnostic Radiology Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.