Organization Active NPI

Summit Radiology P C

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1073584587
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SUMMIT RADIOLOGY P C
Practice address
7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone
(260) 432-1568
Fax
(260) 432-4969
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Fran E Eviston
Title
Ceo
Phone
(260) 469-8229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233

Mailing address

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone (260) 432-1568

Other identifiers 3

IdentifierTypeStateIssuer
0246246MedicaidOH
CC0677OtherINMEDICARE RAILROAD
100282650MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, CO, NV, HI, CA, OH, TN, NJ, KY, NC, TX, PA, GA, FL, WA, AZ, NY, MA, MD, AL, IA, MO, IL, SC, VA, ID, MN, ME, WI30 enrollments

Enrollment records 30

Enrollment IDStateProvider typePAC IDDetails
O20040831000152 IN Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 69 practitioners
O20081222000511 MI Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 29 practitioners
Practice locations: Farmington Hills, MI; Troy, MI; Traverse City, MI; Sturgis, MI; Rochester Hills, MI; Mt Pleasant, MI; Midland, MI; Marshall, MI
O20091030000231 CO Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 4 practitioners
Practice locations: Breckenridge, CO; Monument, CO; Lakewood, CO; Denver, CO; Colorado Springs, CO
O20091120000176 NV Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV
O20091228000171 HI Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 5 practitioners
Practice locations: Honolulu, HI; Kailua, HI
O20100128000271 CA Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 12 practitioners
Practice locations: Walnut Creek, CA; Visalia, CA; Tarzana, CA; Santa Barbara, CA; San Rafael, CA; Huntington Beach, CA; San Jose, CA; Sacramento, CA…
O20131015000792 OH Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 17 practitioners
Practice locations: Hicksville, OH; West Liberty, OH; Paulding, OH; Ottawa Hills, OH; Bexley, OH
O20150112000207 TN Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN; Jackson, TN
O20151113000741 NJ Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 5 practitioners
Practice locations: Saddle River, NJ; Saddle Brook, NJ; Englewood Cliffs, NJ; Edison, NJ; Alpine, NJ; Mullica Hill, NJ
O20160909001921 KY Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY; Scottsville, KY; Simpsonville, KY
O20190903000946 NC Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 2 practitioners
Practice locations: Hampstead, NC; Waynesville, NC
O20200220002340 TX Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX; Houston, TX; Plano, TX
O20200702000137 PA Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA; West Chester, PA
O20200707000577 GA Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA
O20200709001879 FL Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 16 practitioners
Practice locations: Siesta Key, FL; Tampa, FL; Tallahassee, FL; St Petersburg, FL; Seminole, FL; Sarasota, FL; Nokomis, FL; Naples, FL…
O20200713002256 WA Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 4 practitioners
Practice locations: Bainbridge Island, WA; Clyde Hill, WA; Federal Way, WA; Maple Valley, WA
O20200716002197 AZ Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 3 practitioners
Practice locations: Paradise Valley, AZ; Scottsdale, AZ; Tucson, AZ
O20200910002308 NY Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY; Staten Island, NY; New Hyde Park, NY; Mount Kisco, NY; Monticello, NY
O20201104000226 MA Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Sandwich, MA
O20210504001840 MD Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Airy, MD; Owings Mills, MD
O20220502000388 AL Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Vestavia, AL
O20220511001841 IA Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, IA; Mason City, IA
O20220512001223 MO Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO
O20230620000989 IL Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 2 practitioners
Practice locations: Glenview, IL; Naperville, IL
O20230731003203 SC Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC
O20240214001339 VA Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 2 practitioners
Practice locations: Aldie, VA; Suffolk, VA
O20251023002867 ID Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID
O20251105001451 MN Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Hugo, MN; Mahtomedi, MN
O20260323000439 ME Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 2 practitioners
Practice locations: West Bath, ME; Williamsburg TWP, ME
O20260617001968 WI Part B Supplier - Clinic/Group Practice 0143295410 Receives reassigned benefits from 1 practitioner
Practice locations: Sun Prairie, WI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31521SCMDVascular & Interventional Radiology Physician
15620TNMDPrimary Care Nurse Practitioner

Locations

900 Fort Street Mall
Ste 220
Honolulu, HI 96813
Phone (808) 529-9650

27356 Network Pl
Chicago, IL 60673

1355 Getz Rd
Fort Wayne, IN 46804

3610 Brooklyn Ave
Fort Wayne, IN 46809
Phone (219) 478-5166

7956 W Jefferson Blvd
Ste 120
Fort Wayne, IN 46804
Phone (260) 460-3198

7900 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804

700 Broadway
Fl 7
Fort Wayne, IN 46802
Phone (260) 425-3810

2510 E DuPont Rd
Ste 207
Fort Wayne, IN 46825
Phone (260) 416-3091

5976 W Jefferson Blvd
Fort Wayne, IN 46804

6119 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043215688225

7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127

2818 Theater Ave
Huntington, IN 46750

1415 Flaxmill Rd
Huntington, IN 46750
Phone (219) 359-1250

17 S Westside Dr
#719
New Palestine, IN 46163

17 S Westside Dr
Apt 719
New Palestine, IN 46163

1700 Alber St
Ste 103
Wabash, IN 46992
Phone (260) 563-9459

1275 Provident Dr
Warsaw, IN 46580
Phone (574) 269-4026

127 E Lincoln Ave
Mount Vernon, NY 10552
Phone (203) 249-6767

210 25th Ave N
Ste 602
Nashville, TN 37203
Phone (615) 312-0604

1601 Capital Ave
Ste 102
Plano, TX 75074

Practitioners & affiliated clinicians

Practitioners 200

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 200

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1073584587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "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": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RADIOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "EVISTON",
        "authorized_official_first_name": "FRAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-469-8229"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246246",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC0677",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100282650",
            "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 Jan 22, 2026; 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.