Active NPI
Randolph J. Ferlic, M.D.
- Orthopaedic Hand Surgery Physician
- Granger, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 01047894A
- Practice address
- 16177 Waterbury BND
Granger, IN 46530-8396 - Phone
- (574) 547-0807
- NPI assigned
- Nov 16, 2005
- Last updated
- Jan 7, 2026
- 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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 01047894A | IN | Primary |
Addresses
Primary practice location
16177 Waterbury BND
Granger, IN 46530-8396
Mailing address
16177 Waterbury BND
Granger, IN 46530-8396
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
- Hand Surgery
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (317) 455-1064
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.81 of 100
- Quality
- 64.48
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 78.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01047894A | IN | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Indiana Orthopedics LLC | Hand Surgery | Current | Accepting new patients |
| Central Indiana Orthopedics, LLC | Hand Surgery | Current | Accepting new patients |
Locations
900 I St
Laporte, IN 46350
Phone (219) 324-1670
60160 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 247-2790
3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870
2349 Lake Ave
Ste 201
Plymouth, IN 46563
Phone (574) 540-2500
53880 Carmichael Dr
South Bend, IN 46635
Phone (574) 234-1159
Interoperability endpoints
- randolph.ferlic.3@13070.direct.athenahealth.com
- rferlic1266937@direct.trinity-health.org
Organizations & group practices 2
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.
-
dba OrthoAlliance of Indiana
- Orthopaedic Surgery Physician
- Muncie, IN
- NPI 1063422137
Hand Surgery
-
dba OrthoAlliance of Indiana
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1669207023
Hand Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1912989922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16177 WATERBURY BND",
"city": "GRANGER",
"state": "IN",
"postal_code": "465308396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16177 WATERBURY BND",
"city": "GRANGER",
"state": "IN",
"postal_code": "465308396",
"telephone_number": "574-547-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERLIC",
"first_name": "RANDOLPH",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "IN",
"license": "01047894A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.