JENNIFER E FISHBEIN (MD) – Pediatric Nephrology Physician, NPI 1730611260
Pediatric Nephrology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
458 NEPHROLOGY in MA
Provider Addresses for JENNIFER E FISHBEIN (MD)
PO BOX 415348 UMASS MEMORIAL MEDICAL GROUP
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (774) 442-2131
Fax: (774) 443-7399
Type: Location
900 Warren Ave Ste 201
East Providence, RI 029141430
Phone: (401) 444-8306
Type: Location
North Shore University Hospital, 300, Community Drive, Lake Success, North Hempstead, Nassau County, New York, 11030, United States
MANHASSET, NY 110303816
Phone: (516) 562-0100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Gilead Sciences, Inc. ($125).
Total Amount
$125
General + Research + Ownership
Payments
6
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $125 |
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: 2023-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230825002070 | I | Nephrology | MA | TBD |
| I20231002002853 | I | Pediatric Medicine | RI | TBD |
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.
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 02241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| Physician Assistant | MA | |
| Pulmonary Disease, Critical Care (Intensivists), Allergy/Immunology | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA |
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