NPIMap

Organization Active NPI

Parkview Health System, Inc.

Doing business as Parkview Physicians Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Wayne, IN
National Provider Identifier
1003061797
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
PARKVIEW HEALTH SYSTEM, INC.
Doing business as
Parkview Physicians Group
Practice address
11108 Parkview Circle Dr Ste 5100
Fort Wayne, IN 46845-1730
Phone
(260) 266-2800
NPI assigned
Nov 21, 2008
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKVIEW HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristina Bigelow
Title
Director
Phone
(260) 266-1403

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

11108 Parkview Circle Dr Ste 5100
Fort Wayne, IN 46845-1730

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone (260) 266-8210

Other names 2

  • Parkview Physicians Group Doing business as
  • Parkview Physicians Group Cardiovascular Surgery Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000288 IN Part B Supplier - Clinic/Group Practice 2163336967 Receives reassigned benefits from 1,825 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20100209000823 OH Part B Supplier - Clinic/Group Practice 2163336967 Receives reassigned benefits from 7 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Archbold, OH; Paulding, OH; Hicksville, OH; Bryan, OH

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Parkview Health System in

Locations

1260 E State Road 205
Ste 110
Columbia City, IN 46725

11108 Parkview Circle Dr
Fort Wayne, IN 46845
Phone (260) 266-4480

2231 Carew St
Fort Wayne, IN 46805
Phone (260) 266-7856

2003 Stults Rd
Ste 120
Huntington, IN 46750
Phone (260) 454-0425

1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1003061797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701",
            "telephone_number": "260-266-8210",
            "fax_number": "260-458-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11108 PARKVIEW CIRCLE DR STE 5100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451730",
            "telephone_number": "260-266-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW HEALTH SYSTEM, INC.",
        "enumeration_date": "2008-11-21",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "260-266-1403"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkview Physicians Group Cardiovascular Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.