Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FARES ELGENDY MD
NPI 1548998339
Internal Medicine in Indianapolis, IN

Q: What is Fares Elgendy's NPI number?

The NPI number for Fares Elgendy is 1548998339. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Q: What is Fares Elgendy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fares Elgendy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.

Active since August 10, 2022PECOS Enrolled

1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202(317) 278-2686 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Aug 10, 2022 (2 updates tracked since 2022).

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About Fares Elgendy Md NPPES

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

FARES ELGENDY MD (NPI 1548998339) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01100018A) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548998339

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameFARES ELGENDYCredential: MD

Location Address1120 W MICHIGAN ST # CL630Indianapolis, IN 46202-5209

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 278-2686

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 10, 2022

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1548998339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01100018A

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11022628A (IN)

1120 W MICHIGAN ST # CL630, Indianapolis, IN 46202

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Other Identifiers 1

Medicaid300065569IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fares Elgendy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204219678

PECOS Enrollment IDI20260520000296

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.

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.

MADISON OTT MD

Student in an Organized Health Care Education/Training Program