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DR. KENNETH JOHN FISH D.C.
NPI 1124157516
Chiropractor in Gaithersburg, MD

Active since March 03, 2007PECOS EnrolledAccepts Medicare Assignment
937 RUSSELL AVE STE B, GAITHERSBURG, MD 20879(301) 519-1881(301) 519-1131 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth John Fish D.c. NPPES

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

DR. KENNETH JOHN FISH D.C. (NPI 1124157516) is an individual chiropractor in Gaithersburg, Maryland, licensed in Maryland (01987) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of New York Chiropractic College (2000).

NPPES Registry Identity

NPI1124157516
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENNETH JOHN FISHCredential: D.C.
Location Address937 RUSSELL AVE STE BGaithersburg, MD 20879-3280
Mailing AddressPo Box 2004Montgomery Village, MD 20886-2004 · (301) 519-1881 · Fax (301) 519-1131
Phone(301) 519-1881
Fax(301) 519-1131
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 2000
Enumeration DateMarch 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124157516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MD · 01987
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

937 RUSSELL AVE STE B, Gaithersburg, MD 20879
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Other Identifiers 1

Medicare UPINU98567MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth John Fish D.c. 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 ID8426946310
PECOS Enrollment IDI20040310001261
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.

Other Providers at the Same Location NPPES

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

WELLSPRINGS CHIROPRACTIC
Chiropractor (Rehabilitation)
937 RUSSELL AVE STE B
GAITHERSBURG, MD 20879
Montgomery County (301) 519-1881

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 Kenneth Fish's NPI number?

The NPI number for Kenneth Fish is 1124157516. It was assigned to this individual provider in the NPPES registry on March 3, 2007.

Where is Kenneth Fish located?

Kenneth Fish practices at 937 Russell Ave Ste B, Gaithersburg, MD 20879. The listed phone number is (301) 519-1881.

What is Kenneth Fish's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kenneth Fish enrolled in Medicare?

Yes. Kenneth Fish 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.

When was this NPI record last updated?

The NPPES record for Kenneth Fish was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.