ADAM FISH DO
NPI 1689105678
Anesthesiology in San Antonio, TX

Q: What is Adam Fish's NPI number?

The NPI number for Adam Fish is 1689105678. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Adam Fish's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Fish was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment

5522 LONE STAR PKWY BLDG 2, SAN ANTONIO, TX 78253(210) 298-6630(210) 298-6631 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Sep 6, 2023, Aug 11, 2022 and 1 more (4 updates tracked since 2017).

On this page

About Adam Fish Do NPPES

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

ADAM FISH DO (NPI 1689105678) is an individual anesthesiology provider in San Antonio, Texas, licensed in California (A23947) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689105678

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameADAM FISHCredential: DO

Location Address5522 LONE STAR PKWY BLDG 2San Antonio, TX 78253-6719

Mailing Address5522 Lone Star Pkwy Ste 101San Antonio, TX 78253-6719 · (210) 298-6630 · Fax (210) 298-6631

Phone(210) 298-6630

Fax(210) 298-6631

Sole ProprietorYes

Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2017

Enumeration DateMarch 22, 2017

Last NPPES UpdateFebruary 11, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2026

✔ NPI 1689105678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in CA · A23947✔ Licensed in TX · T3771

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License T3771 (TX)

5522 LONE STAR PKWY BLDG 2, San Antonio, TX 78253

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Secondary Practice Locations 2

Location 112222 Merit Dr Ste 600Dallas, TX 75251-3294 · Phone (972) 715-5000 · Fax (972) 715-9976

Location 21600 N Rose AveOxnard, CA 93030-3722 · Phone (805) 988-2500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.Insurance ›

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

Adam 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 ID1153691894

PECOS Enrollment IDI20220728000665, I20251001001663

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 Reassignments

Medicare enrollment records show Adam Fish reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Larina V Gutenberg Do PLLC

Same address

Pain Medicine

5522 LONE STAR PKWY BLDG 2, STE 101
San Antonio, TX 78253

Reassigned Medicare billing, Texas enrollment
6 clinicians in this Medicare group

NPI 1710253646 (210) 298-4900

Austin Anesthesiology Group, PLLC

84 mi

Anesthesiology

8140 N MOPAC EXPY STE 3-210
Austin, TX 78759

Reassigned Medicare billing, Texas enrollment
840 clinicians in this Medicare group

NPI 1598724304 (512) 343-2292

U. S. Anesthesia Partners Of Texas, P.A.,

191 mi

Anesthesiology

1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
3,804 clinicians in this Medicare group

NPI 1548208564 (877) 361-1809

Emergenchealth PLLC

234 mi

Anesthesiology

4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109

Reassigned Medicare billing, Texas enrollment
1,612 clinicians in this Medicare group

NPI 1467970897 (972) 861-1270

Independent Physicians Network PLLC

255 mi

Anesthesiology

3625 N HALL ST # 800
Dallas, TX 75219

Reassigned Medicare billing, Texas enrollment
495 clinicians in this Medicare group

NPI 1396274676 (214) 252-3500

Palm Springs Anesthesia Services, PC

1,136 mi

Anesthesiology

2101 N WATERMAN AVE
San Bernardino, CA 92404

Reassigned Medicare billing, California enrollment
270 clinicians in this Medicare group

NPI 1083928501 (914) 491-9495

Ventura Anesthesia Medical Group

1,249 mi

Anesthesiology

147 N BRENT ST
Ventura, CA 93003

Reassigned Medicare billing, California enrollment
52 clinicians in this Medicare group

NPI 1164465159 (805) 652-5044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

1,323 services51 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

604 services255 patients

Injection, midazolam hydrochloride, per 1 mg J2250

Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).

469 services49 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

439 services192 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

358 services276 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482

A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.

358 services276 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

249 services52 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

232 services116 patients

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966

Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.

195 services84 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

115 services115 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

61 services44 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

57 services42 patients

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370

This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.

45 services23 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

45 services22 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

44 services27 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

39 services24 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

39 services24 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

36 services29 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

36 services24 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

26 services18 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

26 services22 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

24 services13 patients

Injection of upper or middle spine facet joint using imaging guidance, second level 64491

This procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.

24 services13 patients

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938

This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.

17 services12 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

14 services13 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

LARINA V GUTENBERG DO PLLC

Anesthesiology (Pain Medicine)

5522 LONE STAR PKWY BLDG 2, STE 101
SAN ANTONIO, TX 78253

Bexar County (210) 298-4900

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 Adam Fish's NPI number?

The NPI number for Adam Fish is 1689105678. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Adam Fish located?

Adam Fish practices at 5522 Lone Star Pkwy Bldg 2, San Antonio, TX 78253. The listed phone number is (210) 298-6630.

What is Adam Fish's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Adam Fish enrolled in Medicare?

Yes. Adam 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 organizations bill Medicare for Adam Fish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Fish reassigns Medicare benefits to 7 organizations: Larina V Gutenberg Do PLLC (San Antonio, TX), Austin Anesthesiology Group, PLLC (Austin, TX), U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX), Emergenchealth PLLC (Fort Worth, TX), Independent Physicians Network PLLC (Dallas, TX) and 2 more organizations, listed in the Medicare section above. Each 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 Adam Fish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Fish accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and UnitedHealthcare list Adam Fish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Fish affiliated with any hospitals?

According to CMS data, Adam Fish is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Adam Fish was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.