DR. STEVEN J FISHMAN (MD) – Pediatric Surgery Physician, NPI 1235164617

DR. STEVEN J FISHMAN (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in Pediatric Surgery Physician. They hold the professional credentials MD. They hold a License No. 75701 (MA). The NPI Number for DR. STEVEN J FISHMAN (MD) is 1235164617

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEVEN J FISHMAN (MD)
NPI
1235164617
Phone
(617) 355-7800
Address
300 LONGWOOD AVE FEGAN 3
Enumeration Date
12 July 2006
Last Update Date
14 January 2008

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
6173556000
Graduation Year
1986 (40 years ago)
PAC ID
6103865035
Group Practice PAC ID
7012016488
Professional Enrollment ID
I20050429000031
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. STEVEN J FISHMAN (MD)

  • 300 LONGWOOD AVE FEGAN 3

    CHILDREN'S HOSPITAL BOSTON

    BOSTON, MA 02115

    Phone: (617) 355-7800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-04-29

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
I20050429000031IGeneral SurgeryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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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: 7012016488View full group profile
NameSpecialtyState
General SurgeryMA
General Surgery, Pediatric MedicineMA
-MA
General SurgeryMA
General SurgeryMD
General SurgeryMA
General Surgery, Pediatric MedicineMA
General Surgery, Critical Care (Intensivists)MA
Nurse PractitionerMA
General SurgeryMA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. STEVEN J FISHMAN (MD)?
NPI 1235164617 is assigned to DR. STEVEN J FISHMAN (MD) under the national enumeration system.
Is DR. STEVEN J FISHMAN (MD) active in the national directory?
DR. STEVEN J FISHMAN (MD)'s public NPI profile is in an active state.
What kind of provider is DR. STEVEN J FISHMAN (MD)?
The page reflects Pediatric Surgery Physician for DR. STEVEN J FISHMAN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. STEVEN J FISHMAN (MD)?
The snapshot lists Boston, Massachusetts for DR. STEVEN J FISHMAN (MD); download NPPES for the complete set.
How can I contact DR. STEVEN J FISHMAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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