DAVID EUGENE FUMO
NPI 1164463725
Internal Medicine - Gastroenterology in Michigan City, IN

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
8865 W 400 N STE 155, MICHIGAN CITY, IN 46360(219) 872-6566(219) 872-2712 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2023, Mar 19, 2021, Nov 28, 2018 (3 updates tracked since 2018).

About David Eugene Fumo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID EUGENE FUMO (NPI 1164463725) is an individual gastroenterology provider in Michigan City, Indiana, licensed in Indiana (01035777A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1982).

NPPES Registry Identity

NPI1164463725
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDAVID EUGENE FUMO
Location Address8865 W 400 N STE 155Michigan City, IN 46360-9010
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(219) 872-2712
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1982
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 20, 20233 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
NPI 1164463725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IN · 01035777A
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
8865 W 400 N STE 155, Michigan City, IN 46360

Other Identifiers 1

Medicaid100209820AIN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David Eugene Fumo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618879453
PECOS Enrollment IDI20100219000632
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
108 services106 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
94 services93 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
68 services67 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
36 services36 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
31 services31 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
8865 W 400 N STE 155
MICHIGAN CITY, IN 46360
Internal Medicine (Gastroenterology)
8865 W 400 N STE 155
MICHIGAN CITY, IN 46360
Internal Medicine (Gastroenterology)
8865 W 400 N STE 155
MICHIGAN CITY, IN 46360
Nurse Practitioner (Family)
8865 W 400 N STE 155
MICHIGAN CITY, IN 46360
Internal Medicine (Gastroenterology)
8865 W 400 N STE 155
MICHIGAN CITY, IN 46360
Internal Medicine (Gastroenterology)
8865 W 400 N STE 155
MICHIGAN CITY, IN 46360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Fumo's NPI number?

The NPI number for David Fumo is 1164463725. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is David Fumo located?

David Fumo practices at 8865 W 400 N Ste 155, Michigan City, IN 46360. The listed phone number is (219) 872-6566.

What is David Fumo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Fumo enrolled in Medicare?

Yes. David Fumo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Fumo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list David Fumo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Fumo affiliated with any hospitals?

According to CMS data, David Fumo is affiliated with Franciscan Health Michigan City and Franciscan Health Lafayette.

When was this NPI record last updated?

The NPPES record for David Fumo was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.