Individual provider Active NPI

William J Fisher, M.D.

  • Pediatrics Physician
  • New Palestine, IN
National Provider Identifier
1992728539
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01055043A Issued in IN
Practice address
4037 Arbor LN Ste D
New Palestine, IN 46163-9269
Phone
(317) 861-7125
Fax
(317) 861-7141
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01055043A IN Primary

Addresses

Primary practice location

4037 Arbor LN Ste D
New Palestine, IN 46163-9269

Mailing address

4037 Arbor LN Ste D
New Palestine, IN 46163-9269
Phone (317) 861-7125

Other identifiers 2

IdentifierTypeStateIssuer
200444730MedicaidIN
000000321893OtherINANTHEM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001396 IN Practitioner - Pediatric Medicine 4688566060 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01055043AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Pediatrics CurrentSince May 18, 2011 Accepting new patients
Fisher Pediatrics LLC Pediatrics Current Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 18, 2011 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1030 S Scatterfield Rd
Anderson, IN 46012
Phone (765) 644-5025

11911 N Meridian St
Ste 150
Carmel, IN 46032
Phone (317) 621-6700

1664 W Smith Valley Rd
Greenwood, IN 46142
Phone (317) 887-7640

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

8177 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 621-7800

10122 E 10th St
Ste 240
Indianapolis, IN 46229
Phone (317) 355-7337

1703 N Post Rd
Indianapolis, IN 46219
Phone (317) 355-3200

4037 Arbor Ln
Ste D
New Palestine, IN 46163
Phone (317) 355-9355

Interoperability endpoints

  • Direct secure messaging: wfisher2642@ecommunitydirect.com

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1992728539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 ARBOR LN STE D",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461639269",
            "telephone_number": "317-861-7125",
            "fax_number": "317-861-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 ARBOR LN STE D",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461639269",
            "telephone_number": "317-861-7125",
            "fax_number": "317-861-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01055043A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200444730",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000321893",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Palestine, IN

Sources for this page

Verify at the official NPI Registry.