DR. ROBERT A FISHMAN MD
NPI 1881786341
Otolaryngology - Pediatric Otolaryngology in Saint Clair Shores, MI

Q: What is Robert Fishman's NPI number?

The NPI number for Robert Fishman is 1881786341. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Robert Fishman's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Q: When was this NPI record last updated?

The NPPES record for Robert Fishman was last updated on May 22, 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.

Active since September 29, 2006PECOS Enrolled

21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Robert A Fishman Md NPPES

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

DR. ROBERT A FISHMAN MD (NPI 1881786341) is an individual pediatric otolaryngology provider in Saint Clair Shores, Michigan, licensed in Michigan (RF041043) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881786341

Entity TypeIndividualMale

Primary Taxonomy207YP0228X

Provider Legal NameDR. ROBERT A FISHMANCredential: MD

Location Address21000 E 12 MILE RD, SUITE 111Saint Clair Shores, MI 48081-1116

Mailing Address21000 E 12 Mile Rd, Ste 111St Clair Shores, MI 48081 · (586) 779-7610 · Fax (576) 445-2523

Phone(586) 779-7610

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateMay 22, 2019

✔ NPI 1881786341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

License✔ Licensed in MI · RF041043

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License RF041043 (MI)

21000 E 12 MILE RD, Saint Clair Shores, MI 48081

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Other Identifiers 10

Other101764Care Choices

Other040008563Railroad Medicare

OtherC5083Mcar

OtherD91373Health Alliance Plan

Other040E06192MI · Blue Shield Group

Other103994Great Lakes Health

Medicaid1433910MI

Other44033233Aetna

Other2326702002Cigna

Other0500323Blue Care Network

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert A Fishman 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.

Medicare Billing Reassignments

Medicare enrollment records show Robert Fishman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health St. John Hospital

Same address

Otolaryngology

21000 E 12 MILE RD STE 111
Saint Clair Shores, MI 48081

Reassigned Medicare billing, Michigan enrollment
520 clinicians in this Medicare group

NPI 1376820605 (586) 779-7610

Lakeshore Ear Nose And Throat Center PC

10.0 mi

Otolaryngology

11080 HALL RD, A
Sterling Heights, MI 48314

Reassigned Medicare billing, Michigan enrollment
19 clinicians in this Medicare group

NPI 1285803346 (586) 254-7200

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

47%51 patients3/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

27%56 patients

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

31%124 patients2/55-star benchmark: 85%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. DOUGLAS CARL KUBEK D.O.

Otolaryngology (Sleep Medicine)

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

LAKESHORE EAR NOSE AND THROAT CENTER PC

Otolaryngology

21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

MARY E MARKOVICH

Audiologist-Hearing Aid Fitter

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

DR. MICHAEL S FOZO MD

Otolaryngology (Plastic Surgery within the Head & Neck)

21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

ANN R MCREYNOLDS MD

Obstetrics & Gynecology

21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-5100

NATHAN S. WHITE MD

Obstetrics & Gynecology

21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-5100

LAKESHORE EAR NOSE AND THROAT CENTER PC

Allergy & Immunology

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

MRS. ELIZABETH THERESE PARUS CRNA

Nurse Anesthetist, Certified Registered

21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 447-5021

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 Robert Fishman's NPI number?

The NPI number for Robert Fishman is 1881786341. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Robert Fishman located?

Robert Fishman practices at 21000 E 12 Mile Rd Suite 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Robert Fishman's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Robert Fishman enrolled in Medicare?

Yes. Robert Fishman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Fishman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Fishman reassigns Medicare benefits to 2 organizations: Henry Ford Health St. John Hospital (Saint Clair Shores, MI) and Lakeshore Ear Nose And Throat Center PC (Sterling Heights, MI). 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 Robert Fishman'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 Robert Fishman was last updated on May 22, 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.