MICHAEL JOHN FISH DO
NPI 1164918173
Surgery in Mount Clemens, MI
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Fish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 604 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 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.
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.
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
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.
Which organization bills Medicare for Michael Fish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fish reassigns Medicare benefits to Community Health Partners (Fresno, CA). 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 Michael 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 Michael Fish was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Michael John Fish, DO · NPI 1164918173
Surgery physician in Mount Clemens, Michigan. Individual provider, active in the CMS NPPES registry since July 3, 2018.
## Identity
- **NPI:** 1164918173 (Entity type: Individual)
- **Enumerated:** July 3, 2018
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 5101024233 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 HARRINGTON ST, Mount Clemens, MI 48043-2920
- **Phone:** (586) 493-8142 · **Fax:** (586) 493-3250
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Health Partners (NPI 1952912420, Fresno, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Alabama College Of Osteopathic Medicine, class of 2018
## Record status
- **NPPES last updated:** January 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1164918173) · Data from the CMS NPPES public registry.