Active NPI
John S. Fuqua, MD
- Pediatric Endocrinology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 01050242
- Practice address
- 705 Riley Hospital Dr
Ri 5960
Indianapolis, IN 46202-5109 - Phone
- (317) 944-3889
- Fax
- (317) 944-3882
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 01050242 | IN | Primary |
Addresses
Primary practice location
705 Riley Hospital Dr
Ri 5960
Indianapolis, IN 46202-5109
Mailing address
PO Box 719094
Chicago, IL 60677-9318
Phone (317) 777-6435
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2655087 | Medicaid | OH | |
| 200212230 | Medicaid | IN | |
| 1021333 | Medicaid | VT | |
| 64882921 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfuqua@direct.iuhealth.org |
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 |
|---|---|---|---|---|
| I20060503000736 | IN | Practitioner - Endocrinology | 7719997881 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Virginia Commonwealth University, School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 853-5300
421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645
4233 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 853-7391
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050242 | IN | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group Riley Specialists, LLC | Current | Accepting new patients | |
| Deaconess Clinic, Inc | Pediatric Endocrinology | Current | Accepting new patients |
| Deaconess Clinic Inc | Current | Accepting new patients | |
| University Pediatric Associates, Inc. | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Current | Accepting new patients | |
| Parkview Hospital, Inc. | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
702 Barnhill Dr
Rm 5960
Indianapolis, IN 46202
Phone (317) 274-0195
705 Riley Hospital Dr
#5960
Indianapolis, IN 46202
Phone (317) 944-3889
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
4133 Gateway Blvd
Ste 220
Newburgh, IN 47630
Phone (812) 426-9459
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771027200000",
"number": "1669587184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719094",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606779318",
"telephone_number": "317-777-6435",
"fax_number": "317-777-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR",
"address_2": "RI 5960",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025109",
"telephone_number": "317-944-3889",
"fax_number": "317-944-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUQUA",
"first_name": "JOHN",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2026-02-14",
"certification_date": "2026-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "IN",
"license": "01050242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2655087",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200212230",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021333",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64882921",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfuqua@direct.iuhealth.org",
"affiliation": "N",
"address_1": "705 Riley Hospital Dr",
"address_2": "RI 5960",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; 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.