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

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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