FREDY NEHME MD
NPI 1700269537
Internal Medicine - Gastroenterology in Muncie, IN

Q: What is Fredy Nehme's NPI number?

The NPI number for Fredy Nehme is 1700269537. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Q: What is Fredy Nehme's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Fredy Nehme was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 June 29, 2015PECOS EnrolledAccepts Medicare Assignment

2525 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 289-5408 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, Jul 26, 2022, Jul 21, 2022 (3 updates tracked since 2022).

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About Fredy Nehme Md NPPES

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

FREDY NEHME MD (NPI 1700269537) is an individual gastroenterology provider in Muncie, Indiana, licensed in Indiana (01087799A) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1700269537

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameFREDY NEHMECredential: MD

Location Address2525 W UNIVERSITY AVEMuncie, IN 47303-3421

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(765) 289-5408

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 29, 2015

Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1700269537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IN · 01087799A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01087799A (IN), 94-08699 (KS)

2525 W UNIVERSITY AVE, Muncie, IN 47303

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Other Identifiers 4

Other224040183IN · Medicare Ptan

Other1102703911IN · Anthem Ptan

Medicaid300064354IN

OtherP02685637IN · Railroad Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Fredy Nehme 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 ID4284948332

PECOS Enrollment IDI20220729001660

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 17

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

106 services58 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

98 services95 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

87 services87 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

60 services37 patients

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.

51 services39 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

42 services33 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

35 services29 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

34 services33 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

32 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

30 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

22 services21 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

21 services18 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

19 services19 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

16 services16 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

15 services12 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion General Hospital

Acute Care Hospitals · Marion, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150011

Location441 N Wabash AveMarion, IN 46952 · Grant County

Emergency services Birthing friendly

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150089

Location2401 University AveMuncie, IN 47303 · Delaware County

Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN

OwnershipGovernment - Local

CMS Certification Number151320

Location500 W Votaw StPortland, IN 47371 · Jay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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.

ELECTROCARDIOGRAPHIC INTERPRETATION SERVICE, INC.

Internal Medicine (Clinical Cardiac Electrophysiology)

2525 W UNIVERSITY AVE, SUITE 505
MUNCIE, IN 47303

Delaware County (765) 289-6166

MS. CHASITY R EVANS CPNP-PC

Nurse Practitioner (Pediatrics)

2525 W UNIVERSITY AVE, SUITE 404
MUNCIE, IN 47303

Delaware County (765) 231-9494

DERRICK THOMAS ROGERS MD

Otolaryngology

2525 W UNIVERSITY AVE, SUITE 501
MUNCIE, IN 47303

Delaware County (765) 284-2172

MICHAEL J BURRELL M.D.

Surgery

2525 W UNIVERSITY AVE, SUITE 403
MUNCIE, IN 47303

Delaware County (765) 289-6381

JOHNNY S SALAMEH MD

Psychiatry & Neurology (Neurology)

2525 W UNIVERSITY AVE
MUNCIE, IN 47303

Delaware County (765) 751-2600

RACHEL L HENCY FNP-C

Nurse Practitioner (Family)

2525 W UNIVERSITY AVE
MUNCIE, IN 47303

Delaware County (765) 284-2172

AHMED MOURTADA AL QADY MD, MBBCH

Internal Medicine

2525 W UNIVERSITY AVE
MUNCIE, IN 47303

Delaware County (765) 747-4306

CALVIN WILLHITE

Student in an Organized Health Care Education/Training Program

2525 W UNIVERSITY AVE
MUNCIE, IN 47303

Delaware County (765) 747-4306

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 Fredy Nehme's NPI number?

The NPI number for Fredy Nehme is 1700269537. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Fredy Nehme located?

Fredy Nehme practices at 2525 W University Ave, Muncie, IN 47303. The listed phone number is (765) 289-5408.

What is Fredy Nehme's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Fredy Nehme enrolled in Medicare?

Yes. Fredy Nehme 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 Fredy Nehme 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 Fredy Nehme 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 Fredy Nehme affiliated with any hospitals?

According to CMS data, Fredy Nehme is affiliated with Marion General Hospital, Indiana University Health, Indiana University Health Ball Memorial Hospital and Indiana University Health Jay, Inc..

When was this NPI record last updated?

The NPPES record for Fredy Nehme was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.