Active NPI
Eileen M Fish, MD
- Nephrology Physician
- Lone Tree, CO
National Provider Identifier
1982747374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 31255
- Practice address
- 9777 S Yosemite St Ste 110
Lone Tree, CO 80124-3115 - Phone
- (720) 696-0852
- Fax
- (720) 696-0892
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 31255 | CO | Primary |
Addresses
Primary practice location
9777 S Yosemite St Ste 110
Lone Tree, CO 80124-3115
Mailing address
9777 S Yosemite St Ste 110
Lone Tree, CO 80124-3115
Phone (720) 696-0852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01312552 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eileen.fish.1@19427.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31255 | CO | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Nephrology & Metabolic Bone Disease, P.C. | Nephrology | Past | Accepting new patients |
| Altitude Kidney Health PLLC | Nephrology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACHACA
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.
-
- Nephrology Physician
- Denver, CO
- NPI 1487126124
-
- Nephrology Physician
- Arvada, CO
- NPI 1134734486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1982747374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9777 S YOSEMITE ST STE 110",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801243115",
"telephone_number": "720-696-0852",
"fax_number": "720-696-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9777 S YOSEMITE ST STE 110",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801243115",
"telephone_number": "720-696-0852",
"fax_number": "720-696-0892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "EILEEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CO",
"license": "31255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01312552",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eileen.fish.1@19427.direct.athenahealth.com",
"affiliation": "N",
"address_1": "9777 S Yosemite St Ste 110",
"city": "Lone Tree",
"state": "CO",
"country_code": "US",
"postal_code": "801243115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.