LISA H FISH (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1700861788

LISA H FISH (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold the professional credentials M.D.. They hold a License No. 27125 (MN). The NPI Number for LISA H FISH (M.D.) is 1700861788

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
LISA H FISH (M.D.)
NPI
1700861788
Phone
(612) 873-6800
Address
701 PARK AVE
Enumeration Date
13 December 2005
Last Update Date
12 July 2012

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
6128733000
Graduation Year
1981 (45 years ago)
PAC ID
2062555014
Group Practice PAC ID
4789684861
Professional Enrollment ID
I20100130000101
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LISA H FISH (M.D.)

  • Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554151623

    Phone: (612) 873-6800

    Fax: (612) 904-4322

    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: 2010-01-30

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
I20100130000101IEndocrinologyMNTBD

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 55415)

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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: 4789684861View full group profile

Reviews

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Frequently asked questions

Can I cross-check LISA H FISH (M.D.) using NPI 1700861788?
NPI 1700861788 belongs to LISA H FISH (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to LISA H FISH (M.D.)?
You should see LISA H FISH (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with LISA H FISH (M.D.)?
LISA H FISH (M.D.)'s record emphasizes Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LISA H FISH (M.D.)?
Travel planning: use Minneapolis, Minnesota as the reference point for LISA H FISH (M.D.), then confirm.
Can I trust this NPI listing for LISA H FISH (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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