Individual provider Active NPI

Kimberly J Schelb, MD

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1114456993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01082735A Issued in IN
Practice address
750 Broadway Ste 350
Fort Wayne, IN 46802-1412
Phone
(260) 423-2675
Fax
(260) 423-6621
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11019276A IN
Family Medicine Physician 207Q00000X 01082735A IN Primary

Addresses

Primary practice location

750 Broadway Ste 350
Fort Wayne, IN 46802-1412

Mailing address

750 Broadway Ste 350
Fort Wayne, IN 46802-1412
Phone (260) 423-2675

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
I20200827003072 IN Practitioner - Family Practice 3577832765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Wayne Medical Education ProgramGroup PAC ID 2860387933, 7 clinicians

Practice addresses (Care Compare)

750 Broadway
Suite 250
Fort Wayne, IN 46802-1412
Phone (260) 423-2675

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

Merit-based Incentive Payment System (MIPS)

Final score
97.04 of 100Reported as group
Quality
79.76
Promoting interoperability
94
Improvement activities
40
Cost
85.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019276AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Medical Education Program Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Aug 29, 2024 Accepting new patients
Neighborhood Health Clinics, Inc Family Medicine CurrentSince Aug 29, 2024 Accepting new patients

Locations

3501 Warsaw St
Fort Wayne, IN 46806
Phone (260) 458-2570

1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641

750 Broadway
Ste 350
Fort Wayne, IN 46802
Phone (260) 423-2675

750 Broadway
Ste 250
Fort Wayne, IN 46802
Phone (260) 423-2675

Interoperability endpoints

  • Direct secure messaging: kimberly.schelb@nhci.eclinicaldirectplus.com
  • Direct secure messaging: kimberly.schelb.1@17223.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114456993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BROADWAY STE 350",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021412",
            "telephone_number": "260-423-2675",
            "fax_number": "260-423-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BROADWAY STE 350",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021412",
            "telephone_number": "260-423-2675",
            "fax_number": "260-423-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELB",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11019276A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01082735A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.