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JACO FISHENFELD MD
NPI 1689639577
Internal Medicine in San Jose, CA

Active since April 20, 2006PECOS Enrolled
150 N JACKSON AVENUE, SUITE 105, SAN JOSE, CA 95116(408) 926-2200(408) 926-6876 Get Directions Write a Review

NPPES record last updated: November 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaco Fishenfeld Md NPPES

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

JACO FISHENFELD MD (NPI 1689639577) is an individual internal medicine provider in San Jose, California, licensed in California (A25575) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689639577
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACO FISHENFELDCredential: MD
Location Address150 N JACKSON AVENUE, SUITE 105San Jose, CA 95116-1907
Mailing Address150 N Jackson Avenue, Suite 105San Jose, CA 95116-1907 · (408) 926-2200 · Fax (408) 926-6876
Phone(408) 926-2200
Fax(408) 926-6876
Sole ProprietorYes
Enumeration DateApril 20, 2006
Last NPPES UpdateNovember 17, 2009
✔ NPI 1689639577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A25575
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
150 N JACKSON AVENUE, San Jose, CA 95116
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Other Identifiers 2

Medicare UPINA24503
Medicare ID-Type Unspecified00A255750CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaco Fishenfeld Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95116 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims26 services$4.56 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims1,440 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SUDIN VITTAL MD INC
Internal Medicine (Gastroenterology)
150 N JACKSON AVENUE, SUITE 107
SAN JOSE, CA 95116
Santa Clara County (408) 926-2182
BAILEY V SUDINDRA VITTAL MD
Internal Medicine (Gastroenterology)
150 N JACKSON AVENUE, SUITE 107
SAN JOSE, CA 95116
Santa Clara County (408) 926-2182
SUDIN VITTAL MD ENDOSCOPY CENTER INC
Clinic/Center (Ambulatory Surgical)
150 N JACKSON AVENUE, SUITE 107
SAN JOSE, CA 95116
Santa Clara County (408) 926-2182

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 Jaco Fishenfeld's NPI number?

The NPI number for Jaco Fishenfeld is 1689639577. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Jaco Fishenfeld located?

Jaco Fishenfeld practices at 150 N Jackson Avenue Suite 105, San Jose, CA 95116. The listed phone number is (408) 926-2200.

What is Jaco Fishenfeld's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jaco Fishenfeld enrolled in Medicare?

Yes. Jaco Fishenfeld is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaco Fishenfeld was last updated on November 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.