Individual provider Active NPI

Sean Faughnan, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1700768744
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10005208A Issued in IN
Practice address
1801 N Senate Blvd Ste 535
Indianapolis, IN 46202-1204
Phone
(317) 963-1950
NPI assigned
Jul 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9120804 FL
Physician Assistant 363A00000X 10005208A IN Primary

Addresses

Primary practice location

1801 N Senate Blvd Ste 535
Indianapolis, IN 46202-1204

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1222 S Orange Ave
Orlando, FL 32806-1215
Phone (702) 808-4800

Other identifiers 2

IdentifierTypeStateIssuer
300128674MedicaidIN
128774200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SFAUGHNAN@DIRECT.IUHEALTH.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251014003700 FL Practitioner - Physician Assistant 8729575634 Reassigns benefits to 1 organization
I20260401000761 IN Practitioner - Physician Assistant 8729575634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1801 N Senate Blvd
Indianapolis, IN 46202-1228
Phone (317) 963-6492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10005208AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

60 Columbia St
Fl 4
Orlando, FL 32806

60 Columbia St
Orlando, FL 32806
Phone (407) 515-2420

Interoperability endpoints

  • Direct secure messaging: sfaughnan@direct.iuhealth.org

Organizations & group practices 4

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": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1700768744",
    "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": "1801 N SENATE BLVD STE 535",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021204",
            "telephone_number": "317-963-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061215",
            "country_code": "US",
            "telephone_number": "702-808-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUGHNAN",
        "first_name": "SEAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9120804",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10005208A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300128674",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128774200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SFAUGHNAN@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1801 N Senate Blvd Ste 535",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.