Maryann Therese Fumo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01036532A Issued in IN

Practice address

8865 W 400 N Ste 130
Michigan City, IN 46360-9596

Phone

(219) 879-5143

Fax

(219) 872-2395

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maryann Therese Luce Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mfumo5747@direct.franciscanalliance.org

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.

• Franciscan Physician Network

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225327984
  Medicare reassignment

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1316001480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 W 400 N STE 130",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609596",
            "telephone_number": "219-879-5143",
            "fax_number": "219-872-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUMO",
        "first_name": "MARYANN",
        "middle_name": "THERESE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036532A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfumo5747@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8865 W 400 N Ste 130",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463609596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "LUCE",
            "middle_name": "THERESE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Halle Freeze, NP
• Sharon L Friedrich, NURSE PRACTITIONER
• Jennifer S Friesl, OTRL
• Steven Boyd Fugate, HOME MODIFICATIONS
• David Eugene Fumo
• Jagjeevan Rao Gandra, MD
• Julia G Garcia, MD
• Patricia Gardner, MD
• Joseph F Gazarkiewicz, PSY.D
• Lauren Ashleigh Geers, OTR/L

• Internal Medicine Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.