ZACHARY BENNETT FULKERSON (MD., PHD) – Internal Medicine Physician, NPI 1386080265

ZACHARY BENNETT FULKERSON (MD., PHD) is a healthcare provider. based in Indianapolis, Indiana. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials MD., PHD. They hold a License No. 01076478A (IN). The NPI Number for ZACHARY BENNETT FULKERSON (MD., PHD) is 1386080265

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY BENNETT FULKERSON (MD., PHD)
NPI
1386080265
Phone
(888) 484-3258
Address
1701 N Senate Blvd
Enumeration Date
17 May 2013
Last Update Date
7 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8884843258
Graduation Year
2013 (13 years ago)
PAC ID
5294975330
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20190528001789
Address ID
IN462021239IN1701XBLVD400

Contacts

Secure Messaging
zfulkerson@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

3,517 INTERNAL MEDICINE in IN

Provider Addresses for ZACHARY BENNETT FULKERSON (MD., PHD)

  • 1701 N Senate Blvd

    Indianapolis, IN 462021239

    Phone: (888) 484-3258

    Type: Location

  • 6279 VALLEYVIEW DR

    FISHERS, IN 460382083

    Phone: (270) 256-1292

    Type: Mailing

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 1120 W MICHIGAN ST # CL285

    INDIANAPOLIS, IN 462025209

    Phone: (317) 278-0042

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($112).

Total Amount

$175

General + Research + Ownership

Payments

4

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190528001789IInternal MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes11652$0
99214Established patient office or other outpatient visit, 30-39 minutes10678$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7946$0
99213Established patient office or other outpatient visit, 20-29 minutes7665$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5731$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

Where can patients find ZACHARY BENNETT FULKERSON (MD., PHD)'s NPI?
You can confirm ZACHARY BENNETT FULKERSON (MD., PHD) with NPI 1386080265; it appears in the national provider directory.
Is ZACHARY BENNETT FULKERSON (MD., PHD) currently active in the NPI registry?
CMS-published data lists ZACHARY BENNETT FULKERSON (MD., PHD) as an active registrant.
Does ZACHARY BENNETT FULKERSON (MD., PHD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for ZACHARY BENNETT FULKERSON (MD., PHD). Clinical services aligned with this taxonomy classification.
What location metadata exists for ZACHARY BENNETT FULKERSON (MD., PHD)?
The page summarizes Indianapolis, Indiana for ZACHARY BENNETT FULKERSON (MD., PHD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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