JANINE M FOGEL MD
NPI 1831156678
Family Medicine in Indianapolis, IN

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
91.23/100
CMS Quality Rating
1002 WISHARD BLVD, 1ST FL, INDIANAPOLIS, IN 46202(317) 630-6523(317) 692-2817 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Nov 24, 2021 (2 updates tracked since 2021).

About Janine M Fogel Md NPPES

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

JANINE M FOGEL MD (NPI 1831156678) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01045584A) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1831156678
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJANINE M FOGELCredential: MD
Location Address1002 WISHARD BLVD, 1ST FLIndianapolis, IN 46202-2872
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Fax(317) 692-2817
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateApril 26, 2006
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1831156678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01045584A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1002 WISHARD BLVD, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 880-7666

Other Identifiers 2

Medicaid200117150IN
Other000000086789IN · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Janine M Fogel 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 ID8921134123
PECOS Enrollment IDI20100326000600
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 Reassignments

2

Medicare enrollment records show Janine Fogel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
720 ESKENAZI AVE, ESKENAZI HEALTH OUTPATIENT CARE CENTER, 2ND FLOOR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
Adult Medicine
720 ESKENAZI AVE
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 386 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.99
Promoting Interoperability99
Improvement Activities40
Cost54.28

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.

Social Worker
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Internal Medicine
1002 WISHARD BLVD, 4TH FL
INDIANAPOLIS, IN 46202
Occupational Therapist
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Pediatrics
1002 WISHARD BLVD, 2ND FL
INDIANAPOLIS, IN 46202
Medical Genetics, Ph.D. Medical Genetics
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Medical Genetics (Clinical Molecular Genetics)
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Psychologist (Clinical)
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Internal Medicine
1002 WISHARD BLVD, IUMG PCC4
INDIANAPOLIS, IN 46202

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 Janine Fogel's NPI number?

The NPI number for Janine Fogel is 1831156678. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Janine Fogel located?

Janine Fogel practices at 1002 Wishard Blvd 1st Fl, Indianapolis, IN 46202. The listed phone number is (317) 630-6523.

What is Janine Fogel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Janine Fogel enrolled in Medicare?

Yes. Janine Fogel 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.

Which organizations bill Medicare for Janine Fogel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janine Fogel reassigns Medicare benefits to 2 organizations: The Health And Hospital Corporation Of Marion County (Indianapolis, IN) and Eskenazi Medical Group Inc (Indianapolis, IN). Each 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 Janine Fogel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janine Fogel 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 Janine Fogel 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 Janine Fogel affiliated with any hospitals?

According to CMS data, Janine Fogel is affiliated with Eskenazi Health.

When was this NPI record last updated?

The NPPES record for Janine Fogel was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.