HUBERT FORNALIK MD
NPI 1255549812
Obstetrics & Gynecology - Gynecologic Oncology in Zionsville, IN
About Hubert Fornalik Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HUBERT FORNALIK MD (NPI 1255549812) is an individual gynecologic oncology provider in Zionsville, Indiana, licensed in Georgia (112093) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Community Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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
Hubert Fornalik Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Hubert Fornalik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 clinicians in this Medicare group
Dyer, IN 46311
- Reassigned Medicare billing, Indiana enrollment
- 32 clinicians in this Medicare group
Gary, IN 46402
- Reassigned Medicare billing, Indiana enrollment
- 17 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Hospital
Acute Care Hospitals · Munster, INFranciscan Health Indianapolis
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Hubert Fornalik's NPI number?
The NPI number for Hubert Fornalik is 1255549812. It was assigned to this individual provider in the NPPES registry on May 18, 2007.
Where is Hubert Fornalik located?
Hubert Fornalik practices at 11742 Creekstone Way, Zionsville, IN 46077. The listed phone number is (317) 775-4288.
What is Hubert Fornalik's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.
Is Hubert Fornalik enrolled in Medicare?
Yes. Hubert Fornalik 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 Hubert Fornalik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hubert Fornalik reassigns Medicare benefits to 3 organizations: Community Care Network Inc (St John, IN), Northwest Cancer Centers, PC (Dyer, IN) and The Methodist Hospitals, Inc (Gary, 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 Hubert Fornalik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hubert Fornalik accept?
Health plans from CareSource list Hubert Fornalik 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 Hubert Fornalik affiliated with any hospitals?
According to CMS data, Hubert Fornalik is affiliated with Community Hospital and Franciscan Health Indianapolis.
When was this NPI record last updated?
The NPPES record for Hubert Fornalik was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Hubert Fornalik, MD · NPI 1255549812
Gynecologic Oncology physician in Zionsville, Indiana. Individual provider, active in the CMS NPPES registry since May 18, 2007.
## Identity
- **NPI:** 1255549812 (Entity type: Individual)
- **Enumerated:** May 18, 2007
- **Primary specialty:** Obstetrics & Gynecology - Gynecologic Oncology · taxonomy 207VX0201X
- **State license:** 112093 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11742 CREEKSTONE WAY, Zionsville, IN 46077-9674
- **Phone:** (317) 775-4288
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Community Care Network Inc (NPI 1457610487, St John, IN); Northwest Cancer Centers, PC (NPI 1578527826, Dyer, IN); The Methodist Hospitals, Inc (NPI 1124283858, Gary, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** August 25, 2026
- **Other identifiers:** Medicaid 200978000 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1255549812) · Data from the CMS NPPES public registry.