Active NPI
Allied Physicians Inc
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Fort Wayne, IN
National Provider Identifier
1033100995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- ALLIED PHYSICIANS INC
- Practice address
- 7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140 - Phone
- (260) 460-3198
- NPI assigned
- Oct 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen R Smith
- Title
- Ceo
- Phone
- (260) 399-4704
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | |||
| Neurology Physician | 2084N0400X | |||
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Mailing address
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 460-3198
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515955 | Medicaid | OH | |
| DA0025 | Other | IN | RR MEDICARE |
| 100277310 | Medicaid | IN |
Other names 1
- Allied Imaging
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040327000031 | IN | Part B Supplier - Clinic/Group Practice | 5193625846 |
Receives reassigned benefits from 7 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Wayne, IN |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Neurological Surgery Physician
- Fort Wayne, IN
- NPI 1255322103
O20040327000031
National Provider Directory
National Provider DirectoryLocations
303 S Main St
Ste 401A
Bluffton, IN 46714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356480000000",
"number": "1033100995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7956 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-460-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7956 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-460-3198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED PHYSICIANS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-31",
"last_updated": "2012-12-26",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "260-399-4704"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0515955",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DA0025",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100277310",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Allied Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 26, 2012; 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.