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

John William Fanta

Individual provider Neurology Physician · NPI 1215517438

John William Fanta is a Neurology in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

1120 W Michigan St # CL642
Indianapolis, IN 46202-5209
Phone: (317) 278-2686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1345 E Parkdale Ave, Manistee, MI 49660-9318 — (231) 398-1750
  • 3922 Cedar Run Rd, Traverse City, MI 49684-9687 — (231) 392-0430

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 4301513777 (MI)

Record details

NPI number1215517438
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address1120 W Michigan St # Cl642, Indianapolis, IN 46202-5209

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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