JOHN W. FANTA – NPI #1215517438
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

JOHN FANTA is a psychiatry & neurologist located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1215517438 to JOHN FANTA on April 12, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was last updated on Jul 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN FANTA below.

NPI Profile for
JOHN W. FANTA

NPI Number
1215517438
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN W. FANTA
Primary location
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202-5209
Phone: (317) 278-2686 Fax:
2 Other location(s):
1345 E Parkdale Ave
Manistee, MI 49660-9318
Phone: (231) 398-1750
3922 Cedar Run Rd
Traverse City, MI 49684-9687
Phone: (231) 392-0430
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
MI 4301513777

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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