Individual provider Active NPI

Matthew Scott Fisher, DO

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1922299106
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P5361 Issued in TX
Practice address
4144 N Central Expy
Ste 360
Dallas, TX 75204-2156
Phone
(214) 827-7460
Fax
(214) 826-6858
NPI assigned
Aug 5, 2007
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 006100 AZ
Anesthesiology Physician 207L00000X 6401 AK
Anesthesiology Physician 207L00000X 02003359A IN
Anesthesiology Physician 207L00000X P5361 TX Primary

Addresses

Primary practice location

4144 N Central Expy
Ste 360
Dallas, TX 75204-2156

Mailing address

PO Box 840853
Dallas, TX 75284-2156
Phone (972) 233-1999

Other practice location 1

6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Phone (972) 715-5000

Other identifiers 1

IdentifierTypeStateIssuer
830497MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150810002061 TX Practitioner - Anesthesiology 1456517937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Anesthesiology Associates, PAGroup PAC ID 2769472901, 19 clinicians

Practice addresses (Care Compare)

4144 N Central Expressway
Suite 360
Dallas, TX 75204-2156
Phone (214) 827-7460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003359AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Anesthesiology Associates, PA Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Anesthesia Associates of New Mexico P C CurrentSince Dec 28, 2015 Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients
Chugach Anesthesia, LLC Anesthesiology PastSince Dec 17, 2012 Accepting new patients
Guardian Anesthesia, PLLC Anesthesiology Past Accepting new patients

Locations

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

1720 Louisiana Blvd NE
Ste 401
Albuquerque, NM 87110
Phone (505) 260-4300

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

3500 Gaston Ave
Dallas, TX 75246

4144 N Central Expy
Ste 360
Dallas, TX 75204
Phone (214) 252-3511

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1922299106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842156",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY",
            "address_2": "STE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042156",
            "telephone_number": "214-827-7460",
            "fax_number": "214-826-6858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6606 Lbj Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406524",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "006100",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "6401",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "02003359A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P5361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830497",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.