JOHN F FITZGERALD MD
NPI 1457318719
Internal Medicine in Indianapolis, IN

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
5550 S EAST ST, STE.I, INDIANAPOLIS, IN 46227(317) 780-4080(317) 780-4088 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Sep 16, 2020 (2 updates tracked since 2020).

About John F Fitzgerald Md NPPES

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

JOHN F FITZGERALD MD (NPI 1457318719) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01034360A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1980).

NPPES Registry Identity

NPI1457318719
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN F FITZGERALDCredential: MD
Location Address5550 S EAST ST, STE.IIndianapolis, IN 46227-1979
Mailing Address250 N Shadeland Ave Ste 200Indianapolis, IN 46219-4959
Fax(317) 780-4088
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1980
Enumeration DateApril 28, 2006
Last NPPES UpdateJanuary 21, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
NPI 1457318719 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 · 01034360A
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.
5550 S EAST ST, Indianapolis, IN 46227

Other Identifiers 2

Other000000086720IN · Anthem
Medicaid100238510IN

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

John F Fitzgerald 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.

PECOS PAC ID7517879158
PECOS Enrollment IDI20100722000501
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46227 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 13

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

Family Medicine
5550 S EAST ST, SUITE I
INDIANAPOLIS, IN 46227
Internal Medicine
5550 S EAST ST, STE I
INDIANAPOLIS, IN 46227
Pediatrics
5550 S EAST ST, STE I
INDIANAPOLIS, IN 46227
Social Worker (Clinical)
5550 S EAST ST
INDIANAPOLIS, IN 46227
Pediatrics
5550 S EAST ST, STE.I
INDIANAPOLIS, IN 46227
Internal Medicine
5550 S EAST ST, STE.I
INDIANAPOLIS, IN 46227
Pediatrics
5550 S EAST ST, STE.I
INDIANAPOLIS, IN 46227
Dentist
5550 S EAST ST, STE A
INDIANAPOLIS, IN 46227

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 John Fitzgerald's NPI number?

The NPI number for John Fitzgerald is 1457318719. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is John Fitzgerald located?

John Fitzgerald practices at 5550 S East St Ste.I, Indianapolis, IN 46227. The listed phone number is (317) 780-4080.

What is John Fitzgerald's specialty?

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

Is John Fitzgerald enrolled in Medicare?

Yes. John Fitzgerald 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 John Fitzgerald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list John Fitzgerald 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 John Fitzgerald affiliated with any hospitals?

According to CMS data, John Fitzgerald is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for John Fitzgerald was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.