Benjamin Joel Koerner

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

02008273A Issued in IN

Practice address

5050 N Clinton St
Fort Wayne, IN 46825-5886

Phone

(604) 848-5512

Fax

(260) 482-5060

NPI assigned

Apr 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IN, KS3 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 3

Specialty

Orthopedic Surgery

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedics Northeast PCGroup PAC ID 9234024878, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orthopaedic Hospital at Parkview North Hospital, Fort Wayne, IN, CCN 150167
• Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Orthopaedics Northeast PC

  • Orthopaedic Surgery Physician
  • Fort Wayne, IN
  • NPI 1740268796
  Medicare reassignment Care Compare group NPD
• Orthopedic Surgeons, P.a.

  • Orthopaedic Surgery Physician
  • North Kansas City, MO
  • NPI 1841264835
  Medicare reassignment NPD
• Orthopaedics Northeast PC

  • Ambulatory Surgical Clinic/Center
  • Fort Wayne, IN
  • NPI 1417936477
  NPD
• Orthopedic Surgeons, P.a.

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1578370565
  NPD

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

• Orthopaedic Hospital at Parkview North, LLC

  • Special Hospital
  • Fort Wayne, IN
  • NPI 1568664613
  Care Compare affiliation
• Parkview Hospital, Inc.

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1366407603
  Care Compare affiliation

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1104446376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255822",
            "telephone_number": "260-484-8551",
            "fax_number": "260-408-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255886",
            "telephone_number": "604-848-5512",
            "fax_number": "260-482-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11136 Parkview Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451730",
            "country_code": "US",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8202 Glencarin Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468045783",
            "country_code": "US",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "BENJAMIN",
        "middle_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02008273A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elaine Koehneke, CTRS
• Hannah Koeneman I
• Alex Michael Koenemann, NP
• Beth Ann Koenemann, LCSW
• Ellise Suzanne Koenn, NP
• Thomas E Koerner, MD
• Tamera A Koesters, PT
• Anna Koeva, RPH
• Lauren May Koffman, DO
• Kyrstin A Kohn, LMHC-A

• Orthopaedic Surgery Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.