Individual provider Active NPI

Annette Christine Fearnot-Kligerman, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1609191998
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01070828A Issued in IN
Practice address
826 W 64TH St
Indianapolis, IN 46260-4704
Phone
(317) 820-2780
Fax
(844) 689-3217
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01070828A IN Primary

Addresses

Primary practice location

826 W 64TH St
Indianapolis, IN 46260-4704

Mailing address

826 W 64TH St
Indianapolis, IN 46260-4704

Other names 1

  • Annette Christine Fearnot Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drannettefearnot@mdvip.com Health Information Exchange (HIE)

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
I20131022002251 IN Practitioner - Family Practice 0446485775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians

Practice addresses (Care Compare)

1650 W Oak St
Zionsville, IN 46077-3835

826 W 64TH St
Indianapolis, IN 46260-4704
Phone (317) 820-2780

Hospital & facility affiliations

  • Witham Health Services Hospital, Lebanon, IN, CCN 150104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital CurrentSince Jul 18, 2022 Accepting new patients
Thrive Studio LLC Family Medicine CurrentSince Oct 31, 2025 Accepting new patients
Riverview Hospital CurrentSince Jul 23, 2018 Accepting new patients
Witham Memorial Hospital Family Medicine CurrentSince Jul 18, 2022 Accepting new patients
Riverview Hospital CurrentSince Jul 23, 2018 Accepting new patients

Locations

826 W 64th St
Indianapolis, IN 46260
Phone (317) 524-2266

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

611 E 10th St
Sheridan, IN 46069
Phone (317) 758-4477

1650 W Oak St
Ste 101
Zionsville, IN 46077
Phone (317) 733-6300

6085 Heartland Dr
Ste 205
Zionsville, IN 46077
Phone (317) 768-2200

Interoperability endpoints

  • Direct secure messaging: afearnot988142@directc.mercy.net
  • Direct secure messaging: annette.fearnot.1@33919.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1609191998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W 64TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462604704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W 64TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462604704",
            "telephone_number": "317-820-2780",
            "fax_number": "844-689-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARNOT-KLIGERMAN",
        "first_name": "ANNETTE",
        "middle_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01070828A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drannettefearnot@mdvip.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "826 W 64th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462604704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "FEARNOT",
            "middle_name": "CHRISTINE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.