DR. ANDRES FAJARDO MD NPI 1447417829

NPI Information

  • NPI: 1447417829
  • Provider Name: DR. ANDRES FAJARDO, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1801 N SENATE BLVD
    MPC2 SUITE 3500
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 962-0280

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NPI Details

DR. Andres Fajardo, MD is a vascular surgery surgery in Indianapolis, IN with 25 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Andres Fajardo, MD NPI is 1447417829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 N SENATE BLVD
MPC2 SUITE 3500
INDIANAPOLIS, IN
ZIP 46202-228
Phone: (317) 962-0280

The NPI 1447417829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Exposure of groin artery for delivery of graft (HCPCS:34713)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/22/2008 and was last updated on 8/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery01065981AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200980740MEDICAIDINDIANA
2815500263OTHERINDIANAMEDICARE PTAN
3P00911441OTHERINDIANARAILROAD PTAN
4M400018709OTHERINDIANAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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