Doctor profile · Federal record

Dr. JUSTIN FULLER, MD

Pediatrics Physician · MARTINSVILLE, IN

  • NPI 1588955215
  • 15 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
2209 JOHN R WOODEN DR
MARTINSVILLE, IN 461511840
(317) 944-2819
Additional location
1949 Hospital Dr
Martinsville, IN 461511861
(765) 342-0539
fax (765) 342-3413
Mailing address
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959

Credentials & registration

NPPES · NUCC
NPI registered
April 2011 — 15 yrs on file
Profile last updated
April 10, 2025
Specialty taxonomy
208000000X — NUCC code
State license (1)
Indiana #01072688A
Medicaid
IN #201098490

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1588955215. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$29
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Supernus Pharmaceuticals, Inc. 2 $28.87

By nature of payment

Food and Beverage
$29