Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Modeson-Samuel Banez Ferrer, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1386711711

Dr. Modeson-Samuel Banez Ferrer, MD is a Pathology in Indianapolis, Indiana. Graduated from Medical College of Wisconsin in 2004, 22 years ago. Practices with Ameripath Indianapolis PC, a 35-clinician group and accepts Medicare assignment. Licensed in Indiana and Wisconsin.

Years since qualifying
22
Trained at
Medical College of Wisconsin
Licensed in
IN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2560 N Shadeland Ave Ste A
Indianapolis, IN 46219-1705
Phone: (866) 463-7284
Fax: (610) 271-4245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 01070026A (IN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 207ZP0102X (WI)

Record details

NPI number1386711711
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESOctober 25, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2004 (22 years in practice)
Group practice Ameripath Indianapolis Pc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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