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MARYANN THERESE FUMO M.D.
NPI 1316001480
Internal Medicine in Michigan City, IN

Active since December 21, 2006PECOS Enrolled
8865 W 400 N STE 130, MICHIGAN CITY, IN 46360(219) 879-5143(219) 872-2395 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2023, Mar 19, 2021 (2 updates tracked since 2021).

About Maryann Therese Fumo M.d. NPPES

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

MARYANN THERESE FUMO M.D. (NPI 1316001480) is an individual internal medicine provider in Michigan City, Indiana, licensed in Indiana (01036532A) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316001480
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARYANN THERESE FUMOCredential: M.D.
Location Address8865 W 400 N STE 130Michigan City, IN 46360-9596
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(219) 879-5143
Fax(219) 872-2395
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1316001480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01036532A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8865 W 400 N STE 130, Michigan City, IN 46360
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Other Names 1

Former Name (1)Maryann Therese Luce Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryann Therese Fumo M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Maryann Fumo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Franciscan Physician Network
34 mi
Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1366879009 (574) 254-6253

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

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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers39 claims84 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims14 services$1.07 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers21 claims21 services$36.49 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims27 services$34.10 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims51 services$17.99 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims11 services$53.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Maryann Fumo's NPI number?

The NPI number for Maryann Fumo is 1316001480. It was assigned to this individual provider in the NPPES registry on December 21, 2006. The provider is also known as Maryann Therese Luce MD.

Where is Maryann Fumo located?

Maryann Fumo practices at 8865 W 400 N Ste 130, Michigan City, IN 46360. The listed phone number is (219) 879-5143.

What is Maryann Fumo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maryann Fumo enrolled in Medicare?

Yes. Maryann Fumo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maryann Fumo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryann Fumo reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). The 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 Maryann Fumo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryann Fumo was last updated on April 13, 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.