Active NPI
Summit Radiology P C
- Diagnostic Radiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0246246 | Medicaid | OH | |
| CC0677 | Other | IN | MEDICARE RAILROAD |
| 100282650 | Medicaid | IN |
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, WI
Enrollment records 30
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31521 | SC | MD | Vascular & Interventional Radiology Physician |
| 15620 | TN | MD | Primary 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.
-
- Family Nurse Practitioner
- Fort Wayne, IN
- NPI 1669940714
-
- Diagnostic Radiology Physician
- Evansville, IN
- NPI 1841285616
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1326330200
-
- Physician Assistant
- Fort Wayne, IN
- NPI 1235631557
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1023351608
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1215920079
-
- Diagnostic Radiology Physician
- Danville, IN
- NPI 1972622546
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.