Individual provider Active NPI

Linda A Fundenberger, MD

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1508978784
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01036129A Issued in IN
Practice address
2815 E 38TH Street
Indianapolis, IN 46218
Phone
(317) 547-5525
Fax
(317) 543-0948
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01036129A IN Primary

Addresses

Primary practice location

2815 E 38TH Street
Indianapolis, IN 46218

Mailing address

2815 E 38TH Street
Indianapolis, IN 46218
Phone (317) 547-5525

Other identifiers 1

IdentifierTypeStateIssuer
100176610AMedicaidIN

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
I20110104000757 IN Practitioner - Ophthalmology 7315052339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2815 E 38TH St
Indianapolis, IN 46218-1229
Phone (317) 547-5525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036129AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LF Eyes LLC Ophthalmology CurrentSince Jun 1, 2015 Accepting new patients

Locations

2815 E 38th St
Indianapolis, IN 46218
Phone (317) 547-5525

Interoperability endpoints

  • Direct secure messaging: linda.fundenberger.md@lfeyes.md.direct-ci.com

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1508978784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 E 38TH STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46218",
            "telephone_number": "317-547-5525",
            "fax_number": "317-543-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 E 38TH STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46218",
            "telephone_number": "317-547-5525",
            "fax_number": "317-543-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDENBERGER",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01036129A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100176610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.