Active NPI
George Robert Kolettis, MD
- Orthopaedic Surgery Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01096230A
- Practice address
- 7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (260) 436-8686
- NPI assigned
- Apr 11, 2019
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01096230A | IN | Primary |
Addresses
Primary practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
PO Box 2526
Fort Wayne, IN 46801-2526
Phone (260) 436-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2018
- 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
Hospital & facility affiliations
- The Orthopaedic Hospital of Lutheran Health Networ
- Lutheran Hospital of Indiana
- Kosciusko Community Hospital
- Marion General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 21 |
| Knee replacement | 26 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01096230A | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Musculoskeletal Institute Chartered | Orthopaedic Surgery | Current | Accepting new patients |
| Musculoskeletal Institute Chartered | Orthopaedic Surgery | Current | Accepting new patients |
| Tallahassee Orthopedic Clinic III PL | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Tallahassee Orthopedic Clinic III, P.L. | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Fort Wayne Orthopaedics, LLC | 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 |
| Musculoskeletal Institute Chartered | Orthopaedic Surgery | Current | Accepting new patients |
Locations
560 S Lakewood Dr
Ste 101
Brandon, FL 33511
Phone (813) 657-8448
2011 Harrison Ave
Panama City, FL 32405
Phone (850) 691-4188
803 W Main St
Perry, FL 32347
Phone (850) 584-7078
11286 Boyette Rd
Riverview, FL 33569
11286 Boyette Rd
Ste 101
Riverview, FL 33569
991 E Del Webb Blvd
Sun City Center, FL 33573
Phone (813) 633-5232
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808
5016 W Cypress St
Ste 210
Tampa, FL 33607
Phone (813) 602-7896
6117 Gunn Hwy
Tampa, FL 33625
Phone (813) 387-9890
909 N Dale Mabry Hwy
Ste 201
Tampa, FL 33609
Phone (813) 287-9372
5016 W Cypress St
Tampa, FL 33607
Phone (813) 542-2586
909 N Dale Mabry Hwy
Tampa, FL 33609
Phone (813) 287-9370
13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700
13020 N Telecom Pkwy
Temple Terrace, FL 33637
13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
13020 N Telecom Pkwy
Ste 101
Temple Terrace, FL 33637
2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000
2653 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 324-1939
10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254
701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582
Interoperability endpoints
- george.kolettis.p1@direct.fwortho.nextgenshare.com
- gkolettis297274@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 11
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
-
- Orthopaedic Surgery Physician
- Temple Terrace, FL
- NPI 1386639920
-
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Gas City, IN
- NPI 1699425082
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- Orthopaedic Surgery Physician
- Greencastle, IN
- NPI 1427109362
-
- Orthopaedic Surgery Physician
- Brandon, FL
- NPI 1225191729
-
- Orthopaedic Surgery Physician
- Zephyrhills, FL
- NPI 1467305839
-
- Durable Medical Equipment & Medical Supplies
- Panama City Beach, FL
- NPI 1497617948
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
- 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": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1083177422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2526",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468012526",
"telephone_number": "260-436-8686"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLETTIS",
"first_name": "GEORGE",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01096230A",
"primary": true
}
],
"identifiers": [],
"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 13, 2025; 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.