Carol K Fosso, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

1037197 Issued in IN

Practice address

70 E 91St St Ste 204
Indianapolis, IN 46240-1564

Phone

(317) 872-4213

Fax

(317) 872-6388

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Carol K Fosso Professional name

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

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1356332001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401564",
            "telephone_number": "317-872-4213",
            "fax_number": "317-872-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401564",
            "telephone_number": "317-872-4213",
            "fax_number": "317-872-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSSO",
        "first_name": "CAROL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IN",
            "license": "1037197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "FOSSO",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erwin Fortuno
• Heather M. Fosnaugh, LMHC
• Rebecca L Foss, DDS
• Consuelo Rozana Fossati, RPH
• Paul Bradley Fossier, M.D.
• Erik S Fossum, MD
• Foster Financial Inc
• Foster Healthcare Corporation
• Foster Homecare LLC
• Jamicha Ann Foster-Price

• Allergy Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Allergy Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.