John Joseph Fitzgerald, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01031534A Issued in IN

Practice address

8805 N Meridian St
Indianapolis, IN 46260-2332

Phone

(317) 706-7246

Fax

(317) 706-3417

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnfitzgerald@cfpm.allscriptsdirect.net
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753

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.

• Center for Southside Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Greenwood, IN
  • NPI 1003292483
  NPD
• Shadeland Anesthesia & Pain Associates Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brownsburg, IN
  • NPI 1376429555

  Interventional Pain Medicine

  NPD
• Shadeland Anesthesia & Pain Associates Inc.

  • Interventional Pain Medicine Physician
  • Indianapolis, IN
  • NPI 1477589000
  NPD
• Josephson-Wallack-Munshower Neurology PC

  • Neurology Physician
  • Indianapolis, IN
  • NPI 1740377803
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692

  Interventional Pain Medicine

  NPD (past)
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1700873148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602332",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602332",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01031534A",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01031534A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100473440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Fitz, DO
• Sara McAdow Fitzgerald-Butt, MS, CGC, LGC
• Diane Fitzgerald
• Emily F Fitzgerald, CAA
• John F Fitzgerald, MD
• Julianna Merlo Fitzgerald, FNP-C
• Karen Fitzgerald, LCSW
• Karen S Fitzgerald, M.D.
• Kelly A Fitzgerald
• Latoya Fitzgerald

• Interventional Pain Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.