DR. TED J FISH M.D. NPI 1053375857

NPI Information

  • NPI: 1053375857
  • Provider Name: DR. TED J FISH, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • Address: 3211 N NORTHHILLS BLVD
    SUITE 110
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 571-4338

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NPI Details

DR. Ted J Fish, M.D. is an interventional cardiology internal medicine in Fayetteville, AR. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Ted J Fish, M.D. NPI is 1053375857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3211 N NORTHHILLS BLVD
SUITE 110
FAYETTEVILLE, AR
ZIP 72703-007
Phone: (479) 571-4338
Fax: (479) 571-4015

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Blood test, clotting time (HCPCS:85610)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Anticoagulant management of patient taking warfarin (HCPCS:93793)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Heart rhythm recording continous external ekg over more than 48 hours up to 7 days (HCPCS:93242)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)

The enumeration date for this NPI number is 4/17/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional CardiologyN6731ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1106458001MEDICAIDARKANSAS
21670493OTHERARKANSASUNITED HEALTHCARE
34574734OTHERARKANSASAETNA
4A012OTHERARKANSASCHAMPUS
5N6731OTHERARKANSASSTATE LICENSE
6100177890AMEDICAIDOKLAHOMA
7122040000OTHERARKANSASQUALCHOICE
8204813208MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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