Annaliesa Fanguy, MD
Student in an Organized Health Care Education/Training Program · Mishawaka, IN
Annaliesa Fanguy, MD is a student in an organized health care education/training program with a practice address in Mishawaka, Indiana, and NPI 1760365530, issued on Jul 29, 2025. Check the license with the Indiana board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Annaliesa Fanguy
- Credential
- MD
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program 390200000X
- License number
- 348260 LA
Self-reported in NPPES; status is on the state search - Practice location
- 611 E Douglas RD Ste 407, Mishawaka, IN 46545
- Phone
- (574) 335-6500
- Enumerated
- Jul 29, 2025
- Record last updated
- Jun 2, 2026
- Medicare enrollment
- Enrolled (PECOS I20250929001979); may accept Medicare assignment
- Medical or professional school
- Louisiana State University School Of Medicine In Shreveport, 2025
- Entity
- Type 1 · individual
8 nearest student in an organized health care education/training program records → All 4,574 in Indiana → Look up another NPI →
Also registered at 611 E Douglas RD Ste 407
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amelle Aldurra, DOStudent in an Organized Health Care Education/Training Program1154124329
- McKenzie Anderson, DOStudent in an Organized Health Care Education/Training Program1457055824
- Maranda Armstead, DOStudent in an Organized Health Care Education/Training Program1205530680
- Thomas Barry, DOStudent in an Organized Health Care Education/Training Program1962252544
- Peter Beck, MDStudent in an Organized Health Care Education/Training Program1063116184
- Nicholas BossoStudent in an Organized Health Care Education/Training Program1578024758
Verify Annaliesa Fanguy in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Annaliesa Fanguy among 4,574 student in an organized health care education/training program records in Indiana
Annaliesa Fanguy, MD is one of 4,574 student in an organized health care education/training program records with a practice address in Indiana. 19% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 53% of them.
- NPI issued2025 · 53% of these records are older, 18% newer
- In a Medicare fileNo · 19% of these records are
- In the CMS Doctors and Clinicians fileYes · 2% of these records are
- Graduated2025 · median 2020 among the 102 with a school on file
- Record last updated2026 · 12% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
60 student in an organized health care education/training program records list a practice address in Mishawaka
They are 60 of the 1,454 NPPES records with a practice address in Mishawaka, and 4,574 student in an organized health care education/training program records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,574 in Indiana → Every provider in Mishawaka → Student in an Organized Health Care Education/Training Program nationwide →
The 8 student in an organized health care education/training program records with the nearest ZIP codes
- Ermina BegovicMishawaka, IN 465451124604186
- Nicholas BossoMishawaka, IN 465451578024758
- Jackie Brogie, PHARMDMishawaka, IN 465451861078743
- Faria ChaudhryMishawaka, IN 465451821624313
- Molly CorderMishawaka, IN 465451508492968
- Lisa DibonaMishawaka, IN 465451881270874
- Daniel GiffordMishawaka, IN 465451467025262
- Jason Isch, PHARMDMishawaka, IN 465451609228659
Common questions
What is Annaliesa Fanguy, MD's NPI number?
Annaliesa Fanguy, MD's National Provider Identifier (NPI) is 1760365530, issued on Jul 29, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Annaliesa Fanguy, MD located?
The NPPES record lists a practice address at 611 E Douglas RD Ste 407, Mishawaka, IN, 46545. Phone: (574) 335-6500. Providers update this record themselves, so call before visiting.
How can I verify Annaliesa Fanguy, MD's license?
Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.