DOUGLAS GRANT FISH M.D.
NPI 1013909167
Internal Medicine - Infectious Disease in Albany, NY

Active since August 16, 2005PECOS Enrolled
76.7/100
CMS Quality Rating
66 HACKETT BLVD, ALBANY, NY 12209(518) 262-4439(518) 262-8460 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas Grant Fish M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS GRANT FISH M.D. (NPI 1013909167) is an individual infectious disease provider in Albany, New York, licensed in New York (194867) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013909167
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDOUGLAS GRANT FISHCredential: M.D.
Location Address66 HACKETT BLVDAlbany, NY 12209-1750
Mailing Address66 Hackett BlvdAlbany, NY 12209-1750 · (518) 262-4439 · Fax (518) 262-8460
Fax(518) 262-8460
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1013909167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 194867
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
66 HACKETT BLVD, Albany, NY 12209

Other Identifiers 1

Medicaid01453007NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Grant Fish M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Fish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
66 HACKETT BLVD
ALBANY, NY 12209
Massage Therapist
66 HACKETT BLVD
ALBANY, NY 12209
Social Worker
66 HACKETT BLVD
ALBANY, NY 12209
Midwife
66 HACKETT BLVD
ALBANY, NY 12209
Internal Medicine (Infectious Disease)
66 HACKETT BLVD
ALBANY, NY 12209
Internal Medicine (Infectious Disease)
66 HACKETT BLVD
ALBANY, NY 12209
Family Medicine
66 HACKETT BLVD
ALBANY, NY 12209
Internal Medicine (Infectious Disease)
66 HACKETT BLVD
ALBANY, NY 12209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Fish's NPI number?

The NPI number for Douglas Fish is 1013909167. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Douglas Fish located?

Douglas Fish practices at 66 Hackett Blvd, Albany, NY 12209. The listed phone number is (518) 262-4439.

What is Douglas Fish's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Douglas Fish enrolled in Medicare?

Yes. Douglas Fish is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Fish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Fish reassigns Medicare benefits to Albany Medical College (Albany, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Fish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Fish was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.