Individual provider Active NPI

Geoffrey C Cly, M.D.

  • Obstetrics & Gynecology Physician
  • Fishers, IN
National Provider Identifier
1407855802
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01057955A Issued in IN
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

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000595614OtherINANTHEM
200446790MedicaidIN
200446790AMedicaidIN
000000512001OtherINANTHEM 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 2 clinicians

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

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057955AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Aug 3, 2025 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 3, 2025 Accepting new patients
St. Vincent Medical Group, Inc. Obstetrics & Gynecology Current Accepting new patients
Parkview Health System Inc Current Accepting new patients
Woodlawn Hospital CurrentSince Dec 4, 2019 Accepting new patients
Fertility and Midwifery Care Center LLC Obstetrics & Gynecology CurrentSince May 12, 2024 Accepting new patients
Woodlawn Hospital CurrentSince Dec 4, 2019 Accepting new patients
Woodlawn Hospital Current Accepting new patients
Parkview Health System, Inc. Obstetrics & Gynecology CurrentSince Jan 1, 2009 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

  • FHIR API: https://api.platform.athenahealth.com/21210/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.