Svetlana V Hagan, MD
Individual provider Active NPI Family Medicine Physician · Columbia City, IN
NPI 1124255153 · NPPES record last updated Oct 20, 2022
Key facts
- NPI
- 1124255153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01069906A (IN)
- Practice address
- 885 W Connexion Way Ste 200
Columbia City, IN 46725-1045 - Phone
- (260) 248-9260
- Fax
- (260) 248-9279
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Health System Inc
Parkview Wabash Hospital Inc
Practice addresses (Care Compare)
1270 E State Rd
110 PPG Pulmonary and Critical Care
Columbia City, IN 46725-8505
Phone (260) 266-5260
1655 N Cass St
Parkview Wabash Health Clinic Cass Street
Wabash, IN 46992-9416
Phone (260) 274-0387
Hospital & facility affiliations
- Parkview Regional Medical Center
- Parkview Whitley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Parkview Whitley Hospital |
Hospital | Other | Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120626000389 | IN | Practitioner - Family Practice | 2860657822 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Family Medicine | Current |
Accepting new patients |
| Northeast Obstetrics & Gynecology, LLC | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
1270 E State Road 205
Ste 110
Columbia City, IN 46725
Phone (260) 747-5572
1270 E State Road 205
Ste 240
Columbia City, IN 46725
Phone (260) 248-9230
885 W Connexion Way
Ste 200
Columbia City, IN 46725
Phone (260) 248-9260
3926 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 266-8210
3926 New Vision Dr
Ste 1
Fort Wayne, IN 46845
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
1104 N Wayne St
North Manchester, IN 46962
Phone (260) 982-2102
1655 N Cass St
Wabash, IN 46992
Phone (260) 463-2133
Interoperability endpoints
- shagan6038@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01069906A | IN | Yes |
Addresses
Primary practice location
885 W Connexion Way Ste 200
Columbia City, IN 46725-1045
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000769229 | Other | IN | ANTHEM |
| 201026380 | Medicaid | IN |
Other names
- Svetlana Muravyeva
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shagan6038@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Other providers in Columbia City, IN
- Golden Care Supplies, LLC
- Margery Ann Gordon
- Renee Grant
- Lauren Renee Greulich
- Peter W Gross III
- Jaime R Hajjari
- Emma-Lee Handshoe
- Amanda Haney
- Andrew James Harry
- Brittney Hartman
All providers in Columbia City, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.