EVAN L FOGEL M.D.
NPI 1164486684
Internal Medicine - Gastroenterology in Indianapolis, IN

Q: What is Evan Fogel's NPI number?

The NPI number for Evan Fogel is 1164486684. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Evan Fogel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evan Fogel was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment

1701 N SENATE BLVD, INDIANAPOLIS, IN 46202(888) 484-3258 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2025, Jan 21, 2021 (2 updates tracked since 2021).

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About Evan L Fogel M.d. NPPES

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

EVAN L FOGEL M.D. (NPI 1164486684) is an individual gastroenterology provider in Indianapolis, Indiana, licensed in Indiana (01045682A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1164486684

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameEVAN L FOGELCredential: M.D.

Location Address1701 N SENATE BLVDIndianapolis, IN 46202-1239

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959 · (877) 668-5621

Phone(888) 484-3258

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateApril 13, 2006

Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1164486684 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 · 01045682A

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.

1701 N SENATE BLVD, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 1550 University Blvd, UH4100Indianapolis, IN 46202-5149 · Phone (317) 278-6997

Other Identifiers 1

Medicaid200120400IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evan L Fogel M.d. 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 ID1153310685

PECOS Enrollment IDI20040510001350

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.

Medicare Billing Reassignments

Medicare enrollment records show Evan Fogel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group, LLC

0.1 mi

General Practice

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
5,212 clinicians in this Medicare group

NPI 1326893777 (317) 962-2000

University Medical Diagnostic Associates, Inc.

0.2 mi

Internal Medicine

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
358 clinicians in this Medicare group

NPI 1861441537 (317) 274-8660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

117 services89 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

91 services74 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

78 services52 patients

Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276

This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.

53 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

42 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

30 services21 patients

Balloon dilation of pancreatic or bile duct or sphincter using a flexible endoscope 43277

Balloon dilation is a procedure where a tiny balloon is inserted via an endoscope into your pancreatic or bile duct. The balloon is then inflated to widen the duct, improving flow and relieving blockages. It's a non-surgical, minimally invasive procedure.

28 services21 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

26 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services24 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

22 services21 patients

Review by radiologist of image from tube placement into bile and pancreatic duct using an endoscope 74330

This procedure involves a radiologist examining images from a tube placement in your bile and pancreatic duct. An endoscope, a flexible tube with a light and camera, is used to help guide this process. It assists in diagnosing and treating conditions related to these ducts.

21 services20 patients

Biopsy of gallbladder, pancreatic, liver, and bile ducts using a flexible endoscope 43261

This procedure involves using a flexible tube, called an endoscope, to examine and take small tissue samples from your gallbladder, pancreas, liver, and bile ducts. These samples can help diagnose various conditions.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Witham Health Services

Acute Care Hospitals · Lebanon, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150104

Location2605 N Lebanon StLebanon, IN 46052 · Boone County

Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150161

Location11700 N Meridian StCarmel, IN 46032 · Hamilton County

Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150173

Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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 20

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

THOMAS M DONAHUE MD

Anesthesiology

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (317) 577-4200

DR. GINA MARIE DIANTONIO SWARTZEL M.D.

Emergency Medicine

1701 N SENATE BLVD, B401
INDIANAPOLIS, IN 46202

Marion County (317) 962-5975

NASER A KAFEEL DO

Internal Medicine

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (317) 962-8776

ZACHARY JARRETT DO

Internal Medicine (Critical Care Medicine)

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (317) 962-5820

BARBRA A BACHMEIER NP

Nurse Practitioner (Family)

1701 N SENATE BLVD, RM AG 001
INDIANAPOLIS, IN 46202

Marion County (317) 962-3886

BRIAN T ROBINSON MD

Internal Medicine

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (317) 962-8776

MARK H HOYER MD

Pediatrics (Pediatric Cardiology)

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (317) 678-3900

SHALINI K MANCHANDA MD

Internal Medicine (Sleep Medicine)

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (888) 484-3258

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 Evan Fogel's NPI number?

The NPI number for Evan Fogel is 1164486684. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Evan Fogel located?

Evan Fogel practices at 1701 N Senate Blvd, Indianapolis, IN 46202. The listed phone number is (888) 484-3258.

What is Evan Fogel's specialty?

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

Is Evan Fogel enrolled in Medicare?

Yes. Evan Fogel 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.

Which organizations bill Medicare for Evan Fogel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Fogel reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and University Medical Diagnostic Associates, Inc. (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Fogel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Fogel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Cigna Healthcare list Evan Fogel 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 Evan Fogel affiliated with any hospitals?

According to CMS data, Evan Fogel is affiliated with Indiana University Health, Witham Health Services, Indiana University Health North Hospital and Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for Evan Fogel was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.