Active NPI
John F Fiederlein, MD
- Diagnostic Radiology Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01055952A
- Practice address
- 1411 S Creasy LN
Suite 130
Lafayette, IN 47905-7438 - Phone
- (765) 447-7447
- Fax
- (765) 807-0553
- NPI assigned
- Mar 14, 2006
- Last updated
- Jan 9, 2024
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01055952A | IN | Primary |
Addresses
Primary practice location
1411 S Creasy LN
Suite 130
Lafayette, IN 47905-7438
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-6793
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000220414 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200394920 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfiederlein@direct.iuhealth.org | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-5035
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Southern Indiana Radiological Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Sira Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Nufinity - Woodlawn, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Nufinity, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Integra Imaging Partners LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
429 S Landmark Ave
Bloomington, IN 47403
500 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-7676
1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
4880 Century Plaza Rd
Ste 200
Indianapolis, IN 46254
Phone (317) 293-4113
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Diagnostic Radiology Physician
- Bloomington, IN
- NPI 1558326124
-
- Diagnostic Radiology Physician
- Bloomington, IN
- NPI 1346205911
-
- Diagnostic Radiology Physician
- Bedford, IN
- NPI 1700967353
-
- Diagnostic Ultrasound Physician
- Rochester, IN
- NPI 1447286695
Diagnostic Radiology
-
- Vascular & Interventional Radiology Physician
- Lafayette, IN
- NPI 1477506319
Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health North Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
dba IU Health West Hospital
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1689642779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 S CREASY LN",
"address_2": "SUITE 130",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479057438",
"telephone_number": "765-447-7447",
"fax_number": "765-807-0553"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "317-962-6793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIEDERLEIN",
"first_name": "JOHN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01055952A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000220414",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200394920",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfiederlein@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 Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.