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MATTHEW CHARLES FITZPATRICK
NPI 1285572073
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 23, 2026PECOS Enrolled
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256(317) 621-5700(317) 621-7896 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Charles Fitzpatrick NPPES

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

MATTHEW CHARLES FITZPATRICK (NPI 1285572073) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11024829A) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1285572073
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW CHARLES FITZPATRICK
Location Address7165 CLEARVISTA WAYIndianapolis, IN 46256-4621
Mailing Address7165 Clearvista Way, Psych PavillionIndianapolis, IN 46256-4621
Phone(317) 621-5700
Fax(317) 621-7896
Sole ProprietorNo
Enumeration DateMarch 23, 2026
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1285572073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 11024829A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7165 CLEARVISTA WAY, Indianapolis, IN 46256
Open in Google Maps ↗

Secondary Practice Location 1

Location 1235 Dalmatian DrSpartanburg, SC 29307-1089 · Phone (317) 694-9247

Other Identifiers 1

Medicaid300132388IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Charles Fitzpatrick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MR. YAMEEN ABDUL-NUR CHESTNUT LMFT
Marriage & Family Therapist
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
WENDY BUDWIG
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
ANGELA WATTS LCSW
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
ZACHARY ALAN MONTGOMERY
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
SARA LIANG WORSHAM DO
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
SYED KAZMI DO
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
KELLY NADINE SOFORIC LMHC
Counselor (Mental Health)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
LESLIE RENEE MONTES FERRIS LCSW
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100

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 Matthew Fitzpatrick's NPI number?

The NPI number for Matthew Fitzpatrick is 1285572073. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Matthew Fitzpatrick located?

Matthew Fitzpatrick practices at 7165 Clearvista Way, Indianapolis, IN 46256. The listed phone number is (317) 621-5700.

What is Matthew Fitzpatrick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Fitzpatrick enrolled in Medicare?

Yes. Matthew Fitzpatrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Fitzpatrick was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.