Individual provider Active NPI

Cameron R Fails, PA

  • Physician Assistant
  • Fishers, IN
National Provider Identifier
1093426280
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004939A Issued in IN
Practice address
14300 E 138TH Ste B
Fishers, IN 46037-0051
Phone
(800) 622-6575
NPI assigned
Dec 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007943RX OH
Physician Assistant 363A00000X 10004939A IN Primary
Surgical Physician Assistant 363AS0400X 10004939A IN

Addresses

Primary practice location

14300 E 138TH Ste B
Fishers, IN 46037-0051

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407

Other practice location 1

1331 S A St
Elwood, IN 46036-1942
Phone (765) 608-3668

Other practice location 2

2610 Enterprise Dr
Anderson, IN 46013-9684
Phone (800) 622-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230126002986 OH Practitioner - Physician Assistant 2961873088 Reassigns benefits to 1 organization
I20250813000197 IN Practitioner - Physician Assistant 2961873088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

1331 S a St
Elwood, IN 46036-1942
Phone (765) 608-3668

14300 E
138TH Suite B
Fishers, IN 46037-0051
Phone (317) 773-4301

2610 Enterprise Dr
Anderson, IN 46013-9684
Phone (765) 683-4400

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10004939AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics, LLC CurrentSince Sep 15, 2025 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physician Assistant CurrentSince Jan 1, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Jan 1, 2023 Accepting new patients
Central Indiana Orthopedics LLC CurrentSince Sep 15, 2025 Accepting new patients

Locations

2610 Enterprise Dr
Anderson, IN 46013
Phone (765) 608-3608

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

14300 E 138th
Ste B
Fishers, IN 46037
Phone (317) 773-4301

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

706 N River Dr
Marion, IN 46952
Phone (765) 651-6637

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

625 S Main St
#200
Zionsville, IN 46077
Phone (800) 622-6575

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

8099 Cornell Rd
Ste 100
Cincinnati, OH 45249

5900 Boymel Dr
Fairfield, OH 45014
Phone (513) 870-5342

Interoperability endpoints

  • Direct secure messaging: cameron.fails.1@7598.direct.athenahealth.com
  • Direct secure messaging: cameron.fails.p4@direct.beaconortho.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1093426280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH STE B",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370051",
            "telephone_number": "800-622-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 S A St",
            "address_purpose": "LOCATION",
            "city": "Elwood",
            "state": "IN",
            "postal_code": "460361942",
            "country_code": "US",
            "telephone_number": "765-608-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2610 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460139684",
            "country_code": "US",
            "telephone_number": "800-622-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAILS",
        "first_name": "CAMERON",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007943RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004939A",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10004939A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.