Individual provider Active NPI

George Robert Kolettis, MD

  • Orthopaedic Surgery Physician
  • Fort Wayne, IN
National Provider Identifier
1083177422
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01096230A Issued in IN
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

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240717004364 FL Practitioner - Orthopedic Surgery 4385979541 Reassigns benefits to 2 organizations
I20250613002922 IN Practitioner - Orthopedic Surgery 4385979541 Reassigns benefits to 2 organizations

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
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Fort Wayne Orthopaedics, LLCGroup PAC ID 7618965286, 65 clinicians

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 Hospital, Ft Wayne, IN, CCN 150168
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133
  • Marion General Hospital Hospital, Marion, IN, CCN 150011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement26
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

LicenseStateTypeSpecialty
01096230AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery CurrentSince Oct 1, 2025 Accepting new patients
Musculoskeletal Institute Chartered Orthopaedic Surgery CurrentSince Jul 25, 2024 Accepting new patients
Musculoskeletal Institute Chartered Orthopaedic Surgery Current Accepting new patients
Tallahassee Orthopedic Clinic III PL Orthopaedic Surgery CurrentSince Sep 11, 2024 Accepting new patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery Current Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Sep 11, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Fort Wayne Orthopaedics, LLC Orthopaedic Surgery CurrentSince May 20, 2025 Accepting new patients
Fort Wayne Orthopaedics LLC Orthopaedic Surgery CurrentSince May 20, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery CurrentSince Oct 1, 2025 Accepting new patients
Musculoskeletal Institute Chartered Orthopaedic Surgery CurrentSince Jul 25, 2024 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

  • Direct secure messaging: george.kolettis.p1@direct.fwortho.nextgenshare.com
  • Direct secure messaging: gkolettis297274@direct.tgh.org
  • FHIR API: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.