Jacob Fish, M.D.
NPI 1093003212ActiveIndividual· Pediatrics· Fargo, ND
Pediatrics (M.D.) in Fargo, North Dakota, trained at University of North Dakota School of Medicine (class of 2011). Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1093003212 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 21, 2011 |
| Last updated in NPPES | Jan 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 13230 | ND |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (ND) |
|---|
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Pediatric Medicine |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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