Active NPI
Geoffrey C Cly, M.D.
- Obstetrics & Gynecology Physician
- Fishers, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01057955A
- Practice address
- 13861 Olio Rd
Fishers, IN 46037-3487 - Phone
- (317) 338-7136
- Fax
- (317) 338-6359
- NPI assigned
- Jul 18, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01057955A | IN | Primary |
Addresses
Primary practice location
13861 Olio Rd
Fishers, IN 46037-3487
Mailing address
3926 New Vision Dr
Fort Wayne, IN 46845-1712
Phone (260) 266-8210
Other practice location 1
11123 Parkview Plaza Dr
Suite 101
Fort Wayne, IN 46845-1707
Phone (260) 422-7455
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000595614 | Other | IN | ANTHEM |
| 200446790 | Medicaid | IN | |
| 200446790A | Medicaid | IN | |
| 000000512001 | Other | IN | ANTHEM PROVIDER ID# - WHC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040105000858 | IN | Practitioner - Obstetrics/Gynecology | 3779482195 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Wright State University Boonshoft School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fertility and Midwifery Care Center LLC
Practice addresses (Care Compare)
10228 Dupont Circle Dr E
Suite 100
Fort Wayne, IN 46825-1611
Phone (260) 222-7401
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057955A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Parkview Health System Inc | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Fertility and Midwifery Care Center LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Woodlawn Hospital | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Parkview Health System, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136
2710 Lake Ave
Fort Wayne, IN 46805
Phone (260) 373-8070
3926 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 266-8210
2414 E State Blvd
Ste 101
Fort Wayne, IN 46805
2512 E DuPont Rd
Ste 105
Fort Wayne, IN 46825
Phone (260) 222-7401
10228 DuPont Circle Dr E
#100
Fort Wayne, IN 46825
Phone (260) 222-7401
11123 Parkview Plaza Dr
Ste 101
Fort Wayne, IN 46845
Phone (260) 425-6650
9835 Auburn Rd
Fort Wayne, IN 46825
Phone (260) 222-7401
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
Interoperability endpoints
- https://api.platform.athenahealth.com/21210/brand/1/csg/1/fhir/r4
- geoffrey.cly.1@21210.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
- NPI 1376955070
IN, Obstetrics & Gynecology
-
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
IN, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
- NPI 1720190002
Obstetrics & Gynecology
-
- Rural Health Clinic/Center
- Winchester, IN
- NPI 1225301740
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- Rural Health Clinic/Center
- Rochester, IN
- NPI 1265095988
-
- Emergency Medicine Physician
- Rochester, IN
- NPI 1740496074
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1407855802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3926 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451712",
"telephone_number": "260-266-8210",
"fax_number": "260-458-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13861 OLIO RD",
"city": "FISHERS",
"state": "IN",
"postal_code": "460373487",
"telephone_number": "317-338-7136",
"fax_number": "317-338-6359"
}
],
"practiceLocations": [
{
"address_1": "11123 Parkview Plaza Dr",
"address_2": "SUITE 101",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451707",
"country_code": "US",
"telephone_number": "260-422-7455",
"fax_number": "260-424-9356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLY",
"first_name": "GEOFFREY",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01057955A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000595614",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200446790",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200446790A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID# - WHC",
"identifier": "000000512001",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.