Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRAD REILLY FISKE MD
NPI 1821791641
Internal Medicine in Santa Monica, CA

Q: What is Brad Fiske's NPI number?

The NPI number for Brad Fiske is 1821791641. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Brad Fiske's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brad Fiske was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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, 2023PECOS EnrolledAccepts Medicare Assignment

1245 16TH ST STE 309, SANTA MONICA, CA 90404(310) 319-4377 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brad Reilly Fiske Md NPPES

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

BRAD REILLY FISKE MD (NPI 1821791641) is an individual internal medicine provider in Santa Monica, California, licensed in California (A198557) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2023).

NPPES Registry Identity

NPI1821791641

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBRAD REILLY FISKECredential: MD

Location Address1245 16TH ST STE 309Santa Monica, CA 90404-1239

Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90095-5631 · (310) 301-8836

Phone(310) 319-4377

Sole ProprietorNo

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2023

Enumeration DateMarch 22, 2023

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1821791641 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 · A198557

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.

1245 16TH ST STE 309, Santa Monica, CA 90404

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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

Brad Reilly Fiske Md 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 ID9133698368

PECOS Enrollment IDI20260518002109

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 90404 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 16

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

JOSHUA KHALILI MD

Internal Medicine