Individual provider Active NPI

Andrew M Fouts, MD

  • Interventional Cardiology Physician
  • Indianapolis, IN
National Provider Identifier
1326012782
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01057269A Issued in IN
Practice address
10590 N Meridian St
Indianapolis, IN 46290-1028
Phone
(317) 338-6666
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01057269A IN
Interventional Cardiology Physician 207RI0011X 01057269A IN Primary

Addresses

Primary practice location

10590 N Meridian St
Indianapolis, IN 46290-1028

Mailing address

10590 N Meridian St
Carmel, IN 46290-1028

Other identifiers 1

IdentifierTypeStateIssuer
200511890MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.fouts.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20050425001121 IN Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3173562691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000

10590 N Meridian St
Carmel, IN 46290-1028

1310 S Lebanon St
Suite B
Lebanon, IN 46052-2792
Phone (317) 583-7627

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 338-7136

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8333 Naab Rd
Suite 420
Indianapolis, IN 46260-1992
Phone (317) 338-6666

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057269AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
Rush Memorial Hospital CurrentSince Aug 19, 2019 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince May 20, 2014 Accepting new patients
Rush Memorial Hospital Cardiovascular Disease CurrentSince Aug 19, 2019 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
St. Vincent Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince May 20, 2014 Accepting new patients
Major Hospital Past Accepting new patients
Care Group LLC Cardiovascular Disease Past Accepting new patients
The Care Labs, LLC Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients
St Vincent Medical Group Inc Cardiovascular Disease Past Accepting new patients
Southside Emergency Associates Past Accepting new patients
Methodist Medical Group Physicians Inc Past Accepting new patients

Locations

141 W 22nd St
Ste 109
Anderson, IN 46016
Phone (317) 871-6123

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

10590 N Meridian St
Carmel, IN 46290
Phone (317) 338-6666

8333 Naab Rd
#180B
Indianapolis, IN 46260
Phone (317) 338-6666

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

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8333 Naab Rd
Ste 180
Indianapolis, IN 46260
Phone (317) 871-8905

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

2505 N Lebanon St
Ste 200
Lebanon, IN 46052
Phone (765) 482-0656

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension St Vincent Heart CenterCarmel, IN, CCN 150153 Hospital Corporate Director Dec 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1326012782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "317-338-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTS",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01057269A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01057269A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200511890",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.fouts.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "10590 N Meridian St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462901028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.