Individual provider Active NPI

Norman A Kempler, M.D.

  • Ophthalmology Physician
  • Fort Wayne, IN
National Provider Identifier
1083627939
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01021519A Issued in IN
Practice address
3124 E State Blvd
Suite 4a
Fort Wayne, IN 46805-4798
Phone
(260) 482-2312
Fax
(260) 483-3570
NPI assigned
Aug 14, 2006
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01021519A IN Primary

Addresses

Primary practice location

3124 E State Blvd
Suite 4a
Fort Wayne, IN 46805-4798

Mailing address

6708 Post Rd
Ft Wayne, IN 46814-9404
Phone (260) 672-2799

Other identifiers 1

IdentifierTypeStateIssuer
100351530AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170324000413 IN Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 3870675408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norman a Kempler, Inc PastSince Aug 1, 1973 Accepting new patients
Norman a Kempler, Inc Ophthalmology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1083627939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 POST RD",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468149404",
            "telephone_number": "260-672-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E STATE BLVD",
            "address_2": "SUITE 4A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054798",
            "telephone_number": "260-482-2312",
            "fax_number": "260-483-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPLER",
        "first_name": "NORMAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01021519A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100351530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.