Active NPI
Kimberly J Schelb, MD
- Family Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01082735A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Program
Practice addresses (Care Compare)
750 Broadway
Suite 250
Fort Wayne, IN 46802-1412
Phone (260) 423-2675
Hospital & facility affiliations
- Lutheran Hospital of Indiana
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.04 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11019276A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Medical Education Program | Family Medicine | Current | Accepting new patients |
| Neighborhood Health Clinics, Inc | Current | Accepting new patients | |
| Neighborhood Health Clinics, Inc | Family Medicine | Current | 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
- kimberly.schelb@nhci.eclinicaldirectplus.com
- 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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1184635153
Family Medicine, IN
-
- Clinic/Center
- Fort Wayne, IN
- NPI 1730989518
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.