Individual provider Active NPI

David J Wittbrodt, MD

  • Orthopaedic Surgery Physician
  • Bluffton, IN
National Provider Identifier
1184686743
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01046139 Issued in IN
Practice address
1169 N Main St Ste 7
Bluffton, IN 46714-1362
Phone
(260) 846-1000
Fax
(260) 846-1039
NPI assigned
Apr 6, 2006
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01046139 IN Primary

Addresses

Primary practice location

1169 N Main St Ste 7
Bluffton, IN 46714-1362

Mailing address

5052 N Clinton St
Fort Wayne, IN 46825-5822
Phone (260) 484-8551

Other practice location 1

207 N Townline Rd Ste 104
LaGrange, IN 46761-1325
Phone (260) 463-9160

Other identifiers 3

IdentifierTypeStateIssuer
P00314327OtherINRAIL ROAD MEDICARE
200124490MedicaidIN
2646604MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dwittbrodt8653@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/

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
I20060418000167 IN Practitioner - Orthopedic Surgery 4385653401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

207 N Townline Rd
Lagrange, IN 46761-1325

401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone (260) 266-5700

512 N Professional Way
Kendallville, IN 46755-2927
Phone (260) 347-8556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Northeast PC CurrentSince Jun 5, 2006 Accepting new patients
Orthopaedics Northeast PC Orthopaedic Surgery CurrentSince Jun 5, 2006 Accepting new patients
Parkview Health System Inc Current Accepting new patients
Parkview Health System, Inc. Orthopaedic Surgery CurrentSince Mar 28, 2019 Accepting new patients
Bluffton Physician Services LLC Past Accepting new patients
Caylor Nickel Clinic, PC Past Accepting new patients

Locations

1169 N Main St
Ste 7
Bluffton, IN 46714
Phone (260) 366-4900

5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551

5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

207 N Townline Rd
Ste 104
Lagrange, IN 46761
Phone (260) 463-9160

207 N Townline Rd
Ste 201
Lagrange, IN 46761
Phone (260) 347-2833

Interoperability endpoints

  • Direct secure messaging: dwittbrodt8653@direct.parkviewexchange.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1184686743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255822",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 N MAIN ST STE 7",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141362",
            "telephone_number": "260-846-1000",
            "fax_number": "260-846-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 N Townline Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "IN",
            "postal_code": "467611325",
            "country_code": "US",
            "telephone_number": "260-463-9160",
            "fax_number": "260-463-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTBRODT",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01046139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00314327",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124490",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2646604",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwittbrodt8653@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "207 N Townline Rd Ste 201",
            "city": "LaGrange",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467611325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "207 N Townline Rd Ste 201",
            "city": "LaGrange",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467611325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "207 N Townline Rd Ste 201",
            "city": "LaGrange",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467611325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

Verify at the official NPI Registry.