Active NPI
Ian R Nelson, M.D.
- Orthopaedic Surgery Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01075426A
- Practice address
- 7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (260) 436-8686
- Fax
- (260) 436-8585
- NPI assigned
- Jul 15, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01075426A | IN | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 01075426A | IN |
Addresses
Primary practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
P.O. Box 2526
Fort Wayne, IN 46801-2526
Phone (260) 436-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201291590 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Indiana University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10106 Dupont Circle Dr E
Suite 150
Fort Wayne, IN 46825-1640
Phone (800) 566-5659
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (260) 436-8686
7619 W Jefferson Blvd
Fort Wayne, IN 46804-4133
7631 W Jefferson Blvd
The Imaging Center
Fort Wayne, IN 46804-4133
Phone (260) 436-7770
Hospital & facility affiliations
- Dupont Hospital LLC
- The Orthopaedic Hospital of Lutheran Health Networ
- Cameron Health
- Lutheran Hospital of Indiana
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Promoting interoperability
- 81
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 12 |
| Knee replacement | 26 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Fort Wayne Orthopaedics LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
306 E Maumee St
Ste 304
Angola, IN 46703
Phone (260) 667-5556
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
820 Smaltz Way
Ste B
Auburn, IN 46706
Phone (260) 432-1800
10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254
4900 Beaner Blvd
Gas City, IN 46933
Phone (765) 573-0725
8450 Northwest Blvd
Indianapolis, IN 46278
701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582
Interoperability endpoints
- ian.nelson.p1@direct.fwortho.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1497758429
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
-
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
Orthopaedic Surgery
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- Durable Medical Equipment & Medical Supplies
- Gas City, IN
- NPI 1699425082
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1538110556
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1043440852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2526",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468012526",
"telephone_number": "260-436-8686",
"fax_number": "260-436-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044133",
"telephone_number": "260-436-8686",
"fax_number": "260-436-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "IAN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-15",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01075426A",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IN",
"license": "01075426A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201291590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.