Lutheran Musculoskeletal Center LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

080114791 Issued in IN

Legal business name

LUTHERAN MUSCULOSKELETAL CENTER LLC

Doing business as

The Orthopaedic Hospital of Lutheran Health Network

Practice address

7952 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone

(260) 435-2999

Fax

(260) 435-2557

NPI assigned

Dec 10, 2007

Last updated

Apr 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula M Lalor

Title

Director/Delegated Official

Phone

(629) 215-3953

Specialties & licenses 1

Addresses

Other names 1

• The Orthopaedic Hospital of Lutheran Health Network Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174706576. Details of each certification follow.

• CCN 150168 Hospital · Active · Details

Hospital certification: CCN 150168

Legal name

LUTHERAN MUSCULOSKELETAL CENTER LLC

Doing business as

THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWORK

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Mar 7, 2008

Last certification

Mar 7, 2008

Beds

44

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Nov 28, 2007 in DE

Enrollment address

7952 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Main/Primary Hospital Location

Hospital subgroups

Acute care

Listed as

The Orthopaedic Hospital of Lutheran Health NetworCCN 150168 · All quality measures

Type

Acute Care Hospitals

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Iom Health System LP

  dba Lutheran Hospital of Indiana

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335

  Member Of

  NPD member
• QHG of Fort Wayne Company LLC

  • General Practice Physician
  • Fort Wayne, IN
  • NPI 1619918026

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• QHG of Fort Wayne Company LLC

  • General Practice Physician
  • Fort Wayne, IN
  • NPI 1619918026

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 122

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Bluffton, IN
  • NPI 1356839591

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • General Acute Care Hospital
  • Bluffton, IN
  • NPI 1376594366

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Critical Access Hospital
  • Peru, IN
  • NPI 1619920949

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Peru, IN
  • NPI 1992749691

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Dupont Hospital LLC

  dba Dupont Hospital

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1538110556

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, QHG of Fort Wayne Company LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• FWBH, LLC

  dba Maple Heights Behavioral Health

  • Psychiatric Hospital
  • Fort Wayne, IN
  • NPI 1932843117

  Lutheran Health Network of Indiana LLC

  CMS ownership
• Iom Health System LP

  dba Lutheran Hospital of Indiana

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Lutheran Health Network of Indiana LLC, QHG of Fort Wayne Company LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Knox Hospital Company LLC

  dba Northwest Health- Starke

  • Rural Acute Care Hospital
  • Knox, IN
  • NPI 1679948319

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• La Porte Clinic Company LLC

  dba Knox Family Medical Center

  • Rural Health Clinic/Center
  • Knox, IN
  • NPI 1770936965

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• La Porte Hospital Company LLC

  dba Northwest Health-La Porte

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1750746285

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Porter Hospital LLC

  dba Northwest Health-Porter

  • Rehabilitation Hospital Unit
  • Portage, IN
  • NPI 1154571180

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Porter Hospital LLC

  dba Northwest Health-Porter

  • General Acute Care Hospital
  • Valparaiso, IN
  • NPI 1215151154

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Matthew Hicks, M.D.

  • Orthopaedic Trauma Physician
  • Fort Wayne, IN
  • NPI 1780687707
  NPD (past)
• Elijah Douglas Wallace

  • Physical Therapy Assistant
  • Fort Wayne, IN
  • NPI 1750297081
  NPD (past)
• Fred Shu, MD

  • Diagnostic Radiology Physician
  • Rancho Cucamonga, CA
  • NPI 1568435717
  NPD (past)

Affiliated clinicians 188

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Dinesh Agnihotri, MD

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1932186723

  Hospital

  Care Compare affiliation
• Deepti Alluri

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1376074955

  Hospital

  Care Compare affiliation
• Scott T Armstrong, DO

  • Family Medicine Physician
  • Auburn, IN
  • NPI 1861402760

  Hospital

  Care Compare affiliation
• Nicholas Ryan Arnold, MD

  • Orthopaedic Surgery Physician
  • Fort Wayne, IN
  • NPI 1326400771

  Hospital

  Care Compare affiliation
• Timothy James Ashworth, M.D.

  • Orthopaedic Surgery Physician
  • Fort Wayne, IN
  • NPI 1679951255

  Hospital

  Care Compare affiliation
• Leia A. Becktell, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1447668579

  Hospital

  Care Compare affiliation
• Allison Sue Beitler, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Wayne, IN
  • NPI 1154950749

  Hospital

  Care Compare affiliation
• Lucas Berghoff, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Fort Wayne, IN
  • NPI 1821521394

  Hospital

  Care Compare affiliation
• Ronald John Berish, M.D.

  • Anesthesiology Physician
  • Fort Wayne, IN
  • NPI 1437577194

  Hospital

  Care Compare affiliation
• Matthew W Beuchel, MD

  • Orthopaedic Surgery Physician
  • Fort Wayne, IN
  • NPI 1306075742

  Hospital

  Care Compare affiliation
• Bryce Chandler Biberstein, M.D.

  • Orthopaedic Surgery Physician
  • Fort Wayne, IN
  • NPI 1831684893

  Hospital

  Care Compare affiliation
• Zachary Biehl, M.D.

  • Anesthesiology Physician
  • Fort Wayne, IN
  • NPI 1912438243

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1174706576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7952 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-435-2999",
            "fax_number": "260-435-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7952 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-435-2999",
            "fax_number": "260-435-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN MUSCULOSKELETAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "080114791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orthopaedic Hospital of Lutheran Health Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Orthopaedic Hospital of Lutheran Health Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lutheran Life Villages Home Healthcare Inc (Lutheran Life Villages The Villages at Birchwood)
• Lutheran Medical Group LLC
• Lutheran Medical Group LLC
• Lutheran Medical Group LLC
• Lutheran Medical Group LLC
• Lutheran Social Services of Indiana Inc. (Lutheran Social Services of Indiana)
• Amanda K Lutter, NP
• David J. Lutz, M.D.
• Jacob Thomas Lutz, PHD
• Luxottica of America Inc. (LensCrafters #113)

• General Acute Care Hospital in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Acute Care Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.