DR. PETER E. FISK M.D. NPI 1619001468

NPI Information

  • NPI: 1619001468
  • Provider Name: DR. PETER E. FISK, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6 WELLNESS WAY STE G03
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 785-5884

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NPI Details

DR. Peter E. Fisk, M.D. is a surgery in Latham, NY with 24 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Peter E. Fisk, M.D. NPI is 1619001468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

6 WELLNESS WAY STE G03
LATHAM, NY
ZIP 12110-156
Phone: (518) 785-5884
Fax: (518) 783-6890

The NPI 1619001468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colonoscopy (HCPCS:NAN13)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)

The enumeration date for this NPI number is 3/15/2007 and was last updated on 4/3/2024.

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
1208600000XSurgery036118047ILLINOISNo
2390200000XStudent in an Organized Health Care Education/Training Program060-0003317VERMONTNo
3208600000XSurgery249922NEW YORKYes

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
1P00857183OTHERNEW YORKRR MEDICARE
203028439MEDICAIDNEW YORK

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: 11/21/2025

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