Active NPI
Joseph Michael Donley, M.D.
- Emergency Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01075089A
- Practice address
- 7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140 - Phone
- (260) 203-9600
- NPI assigned
- Sep 30, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301099474 | MI | |
| Emergency Medicine Physician | 207P00000X | 01075089A | IN | Primary |
Addresses
Primary practice location
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Mailing address
10343 Dawsons Creek Blvd
Suite a
Fort Wayne, IN 46825-1906
Phone (260) 203-9600
Other practice location 1
702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (856) 686-4341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201280100 | Medicaid | IN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099474 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Innovative Hospital Care, LLC | Past | Accepting new patients |
Locations
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1922374172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1124302799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10343 DAWSONS CREEK BLVD",
"address_2": "SUITE A",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251906",
"telephone_number": "260-203-9600",
"fax_number": "260-739-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-203-9600"
}
],
"practiceLocations": [
{
"address_1": "702 Van Buren St",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468023697",
"country_code": "US",
"telephone_number": "856-686-4341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONLEY",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-30",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301099474",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01075089A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201280100",
"state": "IN"
}
],
"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 Aug 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.