| James D Fortenberry, MD | |
| 6940 Michigan Rd, Indianapolis, IN 46268-2800 | |
| (317) 266-2901 | |
| (317) 266-2916 | 
| Full Name | James D Fortenberry | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 6940 Michigan Rd, Indianapolis, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669439055 | NPI | - | NPPES | 
| 100217980 | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 01041534A (Indiana) | Primary | 
| 208000000X | Pediatrics | 01057726 (Indiana) | Secondary | 
| Entity Name | University Pediatric Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021 | 
| Mailing Address | Practice Location Address | 
|---|---|
| James D Fortenberry, MD 8910 Purdue Rd, Ste.500, Indianapolis, IN 46268-6100 Ph: () - | James D Fortenberry, MD 6940 Michigan Rd, Indianapolis, IN 46268-2800 Ph: (317) 266-2901 | 
| Irene A Carrothers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
| Liam P Howley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
| Dr. Satish Kenchaiah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-4989 | |
| Gretchen Suarez,  Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Michigan St, Indianapolis, IN 46202 Phone: 317-278-0042 Fax: 317-278-0027 | |
| Cristina Nancy Perez Chumbiauca, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
| Dr. Andrew Jonathen Ortega, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
| Dr. Omair Ahmad Syed, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 640 Eskenazi Ave # F2-600, Indianapolis, IN 46202 Phone: 317-278-5570 |