1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Radiology
  6. NPI Profile

DR. MARIYA A. FISHMAN M.D.
NPI 1104003979
Radiology - Diagnostic Radiology in Atlanta, GA

Active since January 23, 2008PECOS EnrolledAccepts Medicare Assignment
4000 DEKALB TECHNOLOGY PKWY, STE. 400 KAISER PERMANENTE-DEKALB TECHNOLOGY CENTER, ATLANTA, GA 30340(770) 496-3870 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mariya A. Fishman M.d. NPPES

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

DR. MARIYA A. FISHMAN M.D. (NPI 1104003979) is an individual diagnostic radiology provider in Atlanta, Georgia, licensed in Georgia (056557) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2003).

NPPES Registry Identity

NPI1104003979
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARIYA A. FISHMANCredential: M.D.
Location Address4000 DEKALB TECHNOLOGY PKWY, STE. 400 KAISER PERMANENTE-DEKALB TECHNOLOGY CENTERAtlanta, GA 30340-2761
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7000
Phone(770) 496-3870
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2003
Enumeration DateJanuary 23, 2008
Last NPPES UpdateJanuary 7, 2022
✔ NPI 1104003979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 056557
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4000 DEKALB TECHNOLOGY PKWY, Atlanta, GA 30340
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mariya A. Fishman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153467758
PECOS Enrollment IDI20091013000405
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 Mariya Fishman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
6.9 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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 30340 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mariya Fishman's NPI number?

The NPI number for Mariya Fishman is 1104003979. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Mariya Fishman located?

Mariya Fishman practices at 4000 Dekalb Technology Pkwy Ste. 400 Kaiser Permanente-Dekalb Technology Center, Atlanta, GA 30340. The listed phone number is (770) 496-3870.

What is Mariya Fishman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mariya Fishman enrolled in Medicare?

Yes. Mariya Fishman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mariya Fishman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariya Fishman reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). 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 Mariya Fishman'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 Mariya Fishman was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.