Dr. Keely Elizabeth Fischbach, M.D.
Internal Medicine in Gainesville, FL. Individual provider (NPI-1).
NPI number1407155666
StatusActive
Last updated in NPPESSep 14, 2026
Details
- NPI
- 1407155666
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keely Elizabeth Fischbach
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2011
- Certification date
- Sep 14, 2026
- Last updated
- Sep 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 0101273000 | VA | Yes |
| 207R00000X | Internal Medicine | ME117183 | FL | |
| 207R00000X | Internal Medicine | 036.162510 | IL | |
| 207R00000X | Internal Medicine | 4301500649 | MI | |
| 208M00000X | Hospitalist | 036162510 | IL | |
| 207R00000X | Internal Medicine | 35.134374 | OH | |
| 207R00000X | Internal Medicine | 01088492A | IN |
Practice location
1600 Sw Archer RdGainesville, FL 32610-8205
Phone 352-294-8278 · Fax 904-348-5627
Mailing address
Po Box 44004Jacksonville, FL 32231-4004
Phone 904-202-1032 · Fax 904-348-5627
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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