Individual provider Active NPI

Gary R Fisch, MD

  • Cardiovascular Disease Physician
  • Carmel, IN
National Provider Identifier
1396759775
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01025668A Issued in IN
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100066370MedicaidIN

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
I20041216001055 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133186505 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health, Inc Cardiovascular Disease CurrentSince Aug 1, 2016 Accepting new patients
Indiana Pathology Institute PC Current Accepting new patients
University Medical Diagnostic Associates, Inc. Cardiovascular Disease CurrentSince Oct 1, 2020 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jun 17, 2013 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 PastSince Jan 1, 2025 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.

FacilityTypeRoleSince
Eskenazi HealthIndianapolis, IN, CCN 150024 Hospital Corporate Director Jan 1, 2025
Riverview VillageClarksville, IN, CCN 155165 Skilled nursing facility Corporate Director Jan 1, 2025
Spring Mill MeadowsIndianapolis, IN, CCN 155154 Skilled nursing facility Corporate Director Jan 1, 2025
Rosewalk Village at LafayetteLafayette, IN, CCN 155121 Skilled nursing facility Corporate Director Jan 1, 2025
North Woods VillageKokomo, IN, CCN 155139 Skilled nursing facility Corporate Director Jan 1, 2025
Rosewalk VillageIndianapolis, IN, CCN 155329 Skilled nursing facility Corporate Director Jan 1, 2025
Riverside VillageElkhart, IN, CCN 155695 Skilled nursing facility Corporate Director Jan 1, 2025
Seymour CrossingSeymour, IN, CCN 155377 Skilled nursing facility Corporate Director Jan 1, 2025
Salem CrossingSalem, IN, CCN 155330 Skilled nursing facility Corporate Director Jan 1, 2025
Rosebud VillageRichmond, IN, CCN 155230 Skilled nursing facility Corporate Director Jan 1, 2025
Eskenazi Health Center BlackburnIndianapolis, IN, CCN 151890 Federally qualified health center Corporate Director Jan 1, 2025
Eskenazi Health Center Primary CareIndianapolis, IN, CCN 151893 Federally qualified health center Corporate Director Jan 1, 2025
Eskenazi Health Center PecarIndianapolis, IN, CCN 151899 Federally qualified health center Corporate Director Jan 1, 2025
Eskenazi Health Center WestsideIndianapolis, IN, CCN 151898 Federally qualified health center Corporate Director Jan 1, 2025
Eskenazi Health Center Grassy CreekIndianapolis, IN, CCN 151900 Federally qualified health center Corporate Director Jan 1, 2025
Eskenazi Health Center W 38TH StreetIndianapolis, IN, CCN 151050 Federally qualified health center Corporate Director Jan 1, 2025
Eskenazi Health Center PedigoIndianapolis, IN, CCN 151077 Federally qualified health center Corporate Director Jan 1, 2025
The Health and Hospital Corporation of Marion CountyIndianapolis, IN, CCN 151124 Federally qualified health center Corporate Director Jan 1, 2025
Eskenazi Health Center Northwest Middle SchoolIndianapolis, IN, CCN 151150 Federally qualified health center Corporate Director Jan 1, 2025
Eskenazi Health Center Herron Riverside High SchoolIndianapolis, IN, CCN 151151 Federally qualified health center Corporate Director Jan 1, 2025
Eskenazi Health Center GrandeIndianapolis, IN, CCN C51030 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.

View all 22

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.

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

Verify at the official NPI Registry.