James T Fesenmeier, MD
Individual provider Active NPI Neurology Physician · Avon, IN
NPI 1649294166 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1649294166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 01040145A (IN)
- Practice address
- 1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123-6913 - Phone
- (317) 948-5450
- Fax
- (317) 217-2585
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Iu Health West Hospital
- Indiana University Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040902000216 | IN | Practitioner - Neurology |
3173598059 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Clarian Neurology Group, LLC | Neurology | Past | Accepting new patients |
Locations
1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123
Phone (317) 217-2700
350 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-9874
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
1801 Senate Blvd
Ste 510
Indianapolis, IN 46202
Phone (317) 328-6629
702 Barnhill Dr
#1757
Indianapolis, IN 46202
Phone (317) 274-8747
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
Indianapolis, IN 46219
Phone (317) 948-9174
8820 S Meridian St
Indianapolis, IN 46217
Phone (317) 865-6700
6820 Parkdale Pl
Ste 215
Indianapolis, IN 46254
Phone (317) 328-6629
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
Interoperability endpoints
- jfesenmeier@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01040145A | IN | Yes |
Addresses
Primary practice location
1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123-6913
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000333460 | Other | IN | ANTHEM |
| 100334160 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfesenmeier@direct.iuhealth.org | ||
| Direct Messaging Address | jfesenmeier@direct.iuhealth.org | Direct |
NPI Registry JSON
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1649294166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY",
"address_2": "STE 141",
"city": "AVON",
"state": "IN",
"postal_code": "461236913",
"telephone_number": "317-948-5450",
"fax_number": "317-217-2585"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FESENMEIER",
"first_name": "JAMES",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01040145A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000333460",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100334160",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfesenmeier@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1115 Ronald Reagan Pkwy",
"address_2": "Ste 141",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461236913",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfesenmeier@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.