JONATHAN P FISHMAN (MD) – Gastroenterology Physician, NPI 1104813559

JONATHAN P FISHMAN (MD) is a healthcare provider. based in Denver, Colorado. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 41157 (CO). The NPI Number for JONATHAN P FISHMAN (MD) is 1104813559

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN P FISHMAN (MD)
NPI
1104813559
Phone
(303) 355-3525
Address
4500 E 9TH AVE
Enumeration Date
30 September 2005
Last Update Date
14 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3033553525
Graduation Year
1995 (31 years ago)
PAC ID
5395754451
Group Practice PAC ID
8022090067
Professional Enrollment ID
I20110321000986
Address ID
CO802203926DE4500XAVEX420
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

369 GASTROENTEROLOGY in CO

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Provider Addresses for JONATHAN P FISHMAN (MD)

  • 4500, East 9th Avenue, Denver, Denver County, Colorado, 80220, United States

    720 S

    DENVER, CO 802203900

    Phone: (303) 355-3525

    Fax: (303) 355-0255

    Type: Mailing

  • 4500 E 9TH AVE STE 720S

    DENVER, CO 802203926

    Phone: (303) 355-3525

    Fax: (303) 355-0255

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 449 Open Payments records for all available years, with a total value of $48,269.

Total Amount is formed as General ($48,269) + Research ($0) + Ownership ($0) = $48,269.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($25,319).

Total Amount

$48,269

General + Research + Ownership

Payments

449

Total payment records

General Amount

$48,269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110321000986IGastroenterologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3380Injection, vedolizumab, 1 mg10,50012$0
99213Established patient office or other outpatient visit, 20-29 minutes324239$0
99214Established patient office or other outpatient visit, 30-39 minutes212160$0
45380Biopsy of large bowel using a flexible endoscope172172$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare124124$0
View full utilization report →

Insurance plans in this area (ZIP 80220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022090067View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyMI
-CO
Gastroenterology, Internal MedicineCO
Certified Registered Nurse Anesthetist (Crna)WI
Gastroenterology, Internal MedicineCO
Internal Medicine, GastroenterologyCO
A N E S T H E S I O L O G YCO
Internal Medicine, GastroenterologyCO
Internal Medicine, GastroenterologyCO
A N E S T H E S I O L O G YCO

Reviews

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Frequently asked questions

Can I cross-check JONATHAN P FISHMAN (MD) using NPI 1104813559?
NPI 1104813559 belongs to JONATHAN P FISHMAN (MD); compare other details if you need extra assurance.
Is JONATHAN P FISHMAN (MD) shown as active in public data?
Registry records indicate JONATHAN P FISHMAN (MD) maintains an active NPI.
How would a patient describe JONATHAN P FISHMAN (MD)'s focus?
For JONATHAN P FISHMAN (MD), the primary taxonomy reads as Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JONATHAN P FISHMAN (MD)?
Directory geography for JONATHAN P FISHMAN (MD) centers on Denver, Colorado.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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