Active NPI
Eric Vaughn Heatwole, MD
- Diagnostic Radiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01057573A
- Practice address
- 5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701 - Phone
- (260) 432-1568
- Fax
- (260) 432-4969
- NPI assigned
- Jan 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01057573A | IN | Primary |
Addresses
Primary practice location
5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701
Mailing address
PO Box 80070
Fort Wayne, IN 46898-0070
Phone (260) 432-1568
Other practice location 1
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 935-8895
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2413285 | Medicaid | OH | |
| 200423650 | Medicaid | IN | |
| 1053382234 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN, OH, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Virginia Commonwealth University, School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890
10630 Saddlebrook CT
Fort Wayne, IN 46814-9315
Phone (269) 781-4271
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122
1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054
200 N Madison St
Marshall, MI 49068-1143
2209 Turnberry LN
Fort Wayne, IN 46814-9354
Phone (269) 781-4271
5001 US Hwy 30 W D
Fort Wayne, IN 46818-9701
Phone (260) 432-1568
6245 S 455
Wolcottville, IN 46795-9499
Phone (503) 413-7800
7467 Flutter Rd
Fort Wayne, IN 46835-9238
Phone (269) 781-4271
7910 W Jefferson Blvd
Suite 108
Fort Wayne, IN 46804-4159
Phone (260) 436-0800
916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 659-4482
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057573A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions Healthcare Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Greene County General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Tulsa X-Ray Laboratory PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a. | Current | Accepting new patients | |
| Dimensions Healthcare Associates, Inc. | Current | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Direct Imaging LLC | Current | Accepting new patients | |
| Pacific Imaging Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ella E M Brown Charitable Circle | Diagnostic Radiology | Current | Accepting new patients |
| Greene County General Hospital | Current | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| Dimensions Health Associates Dba University of Maryland Capital Region | Current | Accepting new patients | |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| American Oncology Partners PA | Diagnostic Radiology | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Dimensions Healthcare Associates Inc | Current | Accepting new patients | |
| X-Ray Physicians of Shelbyville PC | Diagnostic Radiology | Current | Accepting new patients |
| Major Hospital | Current | Accepting new patients | |
| St. Joseph Health System, LLC | Past | Accepting new patients | |
| Imaging Diagnostic Center Limited | Diagnostic Radiology | Past | Accepting new patients |
| Northwest Ohio Urgent Care Inc | Past | Accepting new patients |
Locations (25 of 31)
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136
108 Prominence Ct
Ste 120
Dawsonville, GA 30534
Phone (706) 344-6944
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
316 N Broad St
Ste 230
Winder, GA 30680
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
5001 US Highway 30 W
Ste D
Fort Wayne, IN 46818
Phone (260) 469-8273
7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone 26043215688225
5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471
7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830
7836 W Jefferson Blvd
Ste 101
Fort Wayne, IN 46804
Phone (260) 494-3458
7900 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 426-6667
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040
1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281
2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385
1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890
1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Linton, IN
- NPI 1184695389
-
dba Healthlink
- Family Medicine Physician
- New Castle, IN
- NPI 1891570537
-
- Diagnostic Radiology Physician
- Shelbyville, IN
- NPI 1144351347
-
- Hematology & Oncology Physician
- Columbus, OH
- NPI 1265929723
Diagnostic Radiology, IN
-
dba Oaklawn Hospital
- Diagnostic Radiology Physician
- Marshall, MI
- NPI 1043660467
IN
-
dba Spectrum Radiology North
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
IN
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
dba University of Maryland Capital Region Health Medical Group
- Internal Medicine Physician
- Laurel, MD
- NPI 1487714168
Diagnostic Radiology, IN
-
dba PGHC Anesthesia Associates
- Anesthesiology Physician
- Largo, MD
- NPI 1346354834
DC
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Decatur, IN
- NPI 1689696148
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
dba Marion General Hospital Nutritional Support
- Nutrition Support Registered Nurse
- Marion, IN
- NPI 1861578072
Hospital
-
dba Marion General Hospital Ambulance Service
- Land Ambulance
- Marion, IN
- NPI 1932295466
Hospital
-
dba Lutheran Kosciusko Hospital
- General Acute Care Hospital
- Warsaw, IN
- NPI 1164475711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1053382234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80070",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468980070",
"telephone_number": "260-432-1568",
"fax_number": "260-432-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 US HIGHWAY 30 W STE D",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468189701",
"telephone_number": "260-432-1568",
"fax_number": "260-432-4969"
}
],
"practiceLocations": [
{
"address_1": "1100 Reid Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741157",
"country_code": "US",
"telephone_number": "765-935-8895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEATWOLE",
"first_name": "ERIC",
"middle_name": "VAUGHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01057573A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2413285",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200423650",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053382234",
"state": "MI"
}
],
"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 Mar 12, 2026; 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.