| Dr Andres Fajardo, MD | |
|
1801 N Senate Blvd, Mpc2 Suite 3500, Indianapolis, IN 46202-1228 | |
| (317) 962-0280 | |
| Not Available |
| Full Name | Dr Andres Fajardo |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 25 Years |
| Location | 1801 N Senate Blvd, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447417829 | NPI | - | NPPES |
| 200980740 | Medicaid | IN | |
| 815500263 | Other | IN | MEDICARE PTAN |
| P00911441 | Other | IN | RAILROAD PTAN |
| M400018709 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 01065981A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eskenazi Health | Indianapolis, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Reid Hospital & Health Care Services | Richmond, IN | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Memorial Hospital And Health Care Center | Jasper, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Vascular Surgery, Inc | 7911969050 | 14 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | University Vascular Surgery, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043328487 PECOS PAC ID: 7911969050 Enrollment ID: O20041101000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andres Fajardo, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Andres Fajardo, MD 1801 N Senate Blvd, Mpc2 Suite 3500, Indianapolis, IN 46202-1228 Ph: (317) 962-0280 |
Dr. Saila Thanu Pillai, MD, MS, MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Mpc2 #3300, Indianapolis, IN 46202 Phone: 317-948-0944 Fax: 317-274-2940 | |
Kyle Norris Seudeal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 Phone: 317-865-4800 Fax: 317-865-4806 | |
Shelby Lynn Allen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-0283 | |
Dr. Stephen Neil Quigley, Surgery Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd # Uh1295, Indianapolis, IN 46202 Phone: 317-274-3086 | |
Dr. John J. Coleman Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 545 Barnhill Dr, Eh 232, Indianapolis, IN 46202 Phone: 317-274-3636 Fax: 317-274-8746 | |
Eric Alan Wiebke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 545 Barnhill Drive, Eh 5th Floor University Surgeons, Inc, Indianapolis, IN 46202 Phone: 317-274-3086 Fax: 317-274-0241 | |
Raj S Lingnurkar, MD Surgery Medicare: Medicare Enrolled Practice Location: 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202 Phone: 317-944-5376 |