Individual provider Active NPI

William John Fecht Jr., M.D.

  • Gastroenterology Physician
  • Indianapolis, IN
National Provider Identifier
1184620403
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01060020 Issued in IL
Practice address
8902 N Meridian St
Suite 225
Indianapolis, IN 46260-5382
Phone
(317) 872-1161
Fax
(317) 875-3286
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01060020 IL Primary

Addresses

Primary practice location

8902 N Meridian St
Suite 225
Indianapolis, IN 46260-5382

Mailing address

8902 N Meridian St
Suite 225
Indianapolis, IN 46260-5382
Phone (317) 872-1161

Other identifiers 2

IdentifierTypeStateIssuer
11480911OtherINCAQH
200804590AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000555 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 2365486396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13421 Old Meridian St
Suite 201
Carmel, IN 46032-1411
Phone (317) 872-1161

Hospital & facility affiliations

  • Riverview Health Hospital, Noblesville, IN, CCN 150059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy109
Upper gastrointestinal (GI) endoscopy for acid reflux66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01060020ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Gastroenterology, Inc. Gastroenterology CurrentSince Jul 1, 2005 Accepting new patients
Major Hospital Past Accepting new patients

Locations

13421 Old Meridian St
Ste 201
Carmel, IN 46032
Phone (317) 848-6900

8902 N Meridian St
Ste 225
Indianapolis, IN 46260
Phone (317) 872-1161

9002 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 450-1942

Interoperability endpoints

  • Direct secure messaging: williamfecht@ig.allscriptsdirect.net

Organizations & group practices 2

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1184620403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST",
            "address_2": "SUITE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605382",
            "telephone_number": "317-872-1161",
            "fax_number": "317-875-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST",
            "address_2": "SUITE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605382",
            "telephone_number": "317-872-1161",
            "fax_number": "317-875-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHT",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "01060020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11480911",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200804590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.