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MICHAEL JOHN FISH DO
NPI 1164918173
Surgery in Mount Clemens, MI

Active since July 03, 2018PECOS EnrolledAccepts Medicare Assignment
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8142(586) 493-3250 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2019, Jul 3, 2018 (2 updates tracked since 2018).

About Michael John Fish Do NPPES

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

MICHAEL JOHN FISH DO (NPI 1164918173) is an individual surgery provider in Mount Clemens, Michigan, licensed in Michigan (5101024233) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Alabama College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1164918173
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL JOHN FISHCredential: DO
Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920
Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 493-3727 · Fax (586) 493-3250
Phone(586) 493-8142
Fax(586) 493-3250
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2018
Enumeration DateJuly 3, 2018
Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration
✔ NPI 1164918173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 5101024233
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 HARRINGTON ST, Mount Clemens, MI 48043
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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

Michael John Fish Do 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 ID7719236314
PECOS Enrollment IDI20251209003791
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 20

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

LEMAR GARDEZI MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3727
WILLIAM B HALACOGLU DO PC
Emergency Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8101
JAVIER ZARATE
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
KRISTIN HOFSTAD PA
Physician Assistant
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ANDREA PERRIN DO
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
JESSICA JOYCE LUTKENHOFF MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ABIRA MUMTAZ
Internal Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
MS. LINDSEY APRIL MCCLAIN CRNA
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000

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 Michael Fish's NPI number?

The NPI number for Michael Fish is 1164918173. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Michael Fish located?

Michael Fish practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8142.

What is Michael Fish's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Fish enrolled in Medicare?

Yes. Michael 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 Michael Fish was last updated on January 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.