Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hubert Fornalik, MD

Individual provider Gynecologic Oncology Physician · NPI 1255549812

Hubert Fornalik, MD is a Gynecological Oncology in Zionsville, Indiana. Qualified in 2000, 26 years ago. Practices with Northwest Cancer Centers PC, a 26-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa, Indiana and Pennsylvania.

Years since qualifying
26
Licensed in
IA, IN, PA
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11742 Creekstone Way
Zionsville, IN 46077-9674
Phone: (317) 775-4288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 — (574) 237-1328

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X · Licence 01067752A (IN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MT181806 (PA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 37108 (IA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 01067752A (IN)

Record details

NPI number1255549812
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyGYNECOLOGICAL ONCOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Northwest Cancer Centers Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare