Active NPI
Gary R Fisch, MD
- Cardiovascular Disease Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01025668A
- Practice address
- 11725 N Illinois St
Suite 265
Carmel, IN 46032-3015 - Phone
- (317) 688-5100
- Fax
- (317) 688-5111
- NPI assigned
- Jul 28, 2006
- Last updated
- Oct 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01025668A | IN | Primary |
Addresses
Primary practice location
11725 N Illinois St
Suite 265
Carmel, IN 46032-3015
Mailing address
250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100066370 | Medicaid | IN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Indiana Pathology Institute PC | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Heart Partners of Indiana LLC | Cardiovascular Disease | Past | Accepting new patients |
| The Health and Hospital Corporation of Marion County | Past | Accepting new patients | |
| Indiana Heart Associates PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
2242 Reliable Pkwy
Chicago, IL 60686
5208 Reliable Pkwy
Chicago, IL 60686
7301 Solutions Ctr
Chicago, IL 60677
1210 Medical Arts Blvd
Ste 114
Anderson, IN 46011
Phone (765) 298-4425
11725 Illinois St
Ste 265
Carmel, IN 46032
Phone (317) 688-5100
1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364
1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500
Ownership & related parties
All facility ownership & control disclosures 21
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Eskenazi Health | Hospital | Corporate Director | Jan 1, 2025 |
| Riverview Village | Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Spring Mill Meadows | Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Rosewalk Village at Lafayette | Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| North Woods Village | Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Rosewalk Village | Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Riverside Village | Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Seymour Crossing | Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Salem Crossing | Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Rosebud Village | Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center Blackburn | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center Primary Care | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center Pecar | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center Westside | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center Grassy Creek | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center W 38TH Street | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center Pedigo | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| The Health and Hospital Corporation of Marion County | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center Northwest Middle School | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center Herron Riverside High School | Federally qualified health center | Corporate Director | Jan 1, 2025 |
| Eskenazi Health Center Grande | Federally qualified health center | Corporate Director | Jan 1, 2025 |
Owned or controlled facilities with NPI records 22
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Eskenazi Health Center Grande
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1053181271
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1083953442
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1093054447
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1093271579
Corporate Director
-
dba Rosebud Village
- Skilled Nursing Facility
- Richmond, IN
- NPI 1093875221
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1194064543
Corporate Director
-
dba Riverview Village
- Skilled Nursing Facility
- Clarksville, IN
- NPI 1205823697
Corporate Director
-
dba Rosewalk Village
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1306833793
Corporate Director
-
dba Rosewalk Village at Lafayette
- Skilled Nursing Facility
- Lafayette, IN
- NPI 1316934706
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1366181042
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1407585102
Corporate Director
-
dba Seymour Crossing
- Skilled Nursing Facility
- Seymour, IN
- NPI 1467635904
Corporate Director
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1376586719
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Cardiovascular Disease
-
dba University Clinical Pathology Associates PC
- Specialist
- Indianapolis, IN
- NPI 1548212798
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1669550588
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1992821631
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1871311779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1396759775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11725 N ILLINOIS ST",
"address_2": "SUITE 265",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323015",
"telephone_number": "317-688-5100",
"fax_number": "317-688-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCH",
"first_name": "GARY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01025668A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100066370",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.