Active NPI
John Charles Rock, MD
- Diagnostic Radiology Physician
- Fort Wayne, IN
National Provider Identifier
1205807344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01028676
- Practice address
- 6119 W Jefferson Blvd
Fort Wayne, IN 46804-3072 - Phone
- (260) 432-1568
- Fax
- (260) 432-4969
- NPI assigned
- Jan 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01028676 | IN | Primary |
Addresses
Primary practice location
6119 W Jefferson Blvd
Fort Wayne, IN 46804-3072
Mailing address
PO Box 80070
Fort Wayne, IN 46898-0070
Phone (260) 432-1568
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100320840 | Medicaid | IN | |
| 1205807344 | Medicaid | MI | |
| 0780436 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7221 Engle Rd
Suite 220
Fort Wayne, IN 46804-2233
Phone (260) 432-1568
Hospital & facility affiliations
- Adams Memorial Hospital
- Marion General Hospital
- Lutheran Hospital of Indiana
- Kosciusko Community Hospital
- Dupont Hospital LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.96 of 100
- Quality
- 92.18
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01028676 | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Imaging Diagnostic Center Limited | Diagnostic Radiology | Past | Accepting new patients |
| St. Joseph Health System, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1871564336
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Medicare Defined Swing Bed Hospital Unit
- Fort Wayne, IN
- NPI 1538812946
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Decatur, IN
- NPI 1689696148
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1538110556
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
- General Acute Care Hospital
- Warsaw, IN
- NPI 1164475711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1205807344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80070",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468980070",
"telephone_number": "260-432-1568",
"fax_number": "260-432-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6119 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468043072",
"telephone_number": "260-432-1568",
"fax_number": "260-432-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "JOHN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01028676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100320840",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205807344",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0780436",
"state": "OH"
}
],
"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 Jun 17, 2016; 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.