MARTIN FISHER MD
NPI 1174683296
Pediatrics - Adolescent Medicine in New Hyde Park, NY
About Martin Fisher Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTIN FISHER MD (NPI 1174683296) is an individual adolescent medicine provider in New Hyde Park, New York, licensed in New York (128181) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.
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 (PECOS)
Martin Fisher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Martin Fisher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
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.
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 Martin Fisher's NPI number?
The NPI number for Martin Fisher is 1174683296. It was assigned to this individual provider in the NPPES registry on December 11, 2006.
Where is Martin Fisher located?
Martin Fisher practices at Lijmc Dept Of Ped Div. Of Adoles Med 410 Lakeville Road, New Hyde Park, NY 11042. The listed phone number is (516) 465-5459.
What is Martin Fisher's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Martin Fisher enrolled in Medicare?
Yes. Martin Fisher is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Martin Fisher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Fisher reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, 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 Martin Fisher'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 Martin Fisher was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Martin Fisher, MD · NPI 1174683296
Adolescent Medicine physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1174683296 (Entity type: Individual)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 128181 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** LIJMC DEPT OF PED DIV. OF ADOLES MED, 410 LAKEVILLE ROAD, New Hyde Park, NY 11042
- **Phone:** (516) 465-5459
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1174683296) · Data from the CMS NPPES public registry.