Individual provider Active NPI

David L Pollifrone, MD

Urology Physician
Fort Wayne, IN

National Provider Identifier

1215901574

Registry record updated Apr 3, 2023

On this page

Key facts
NPPES NPI Registry
Medicare participation
Care Compare profile
National Provider Directory
Organizations & group practices1
NPI Registry JSON
Other providers in Fort Wayne, IN
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Urology PhysicianTaxonomy code 208800000X
License: 01046999A Issued in IN
Practice address: 11141 Parkview Plaza Dr Ste 325
Fort Wayne, IN 46845-1714
Phone: (260) 425-5400
Fax: (260) 425-5417
NPI assigned: Feb 14, 2006
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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
Urology Physician	208800000X	01046999A	IN	Primary

Addresses

Primary practice location

11141 Parkview Plaza Dr Ste 325
Fort Wayne, IN 46845-1714

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other identifiers 5

Identifier	Type	State	Issuer
0921953	Medicaid	OH
0748972	Medicaid	OH
000000087511	Other	IN	ANTHEM BC/BS
100081380	Medicaid	IN
200146910	Medicaid	IN

Electronic endpoints 3

Type	Endpoint	Use	Affiliation
Direct Messaging Address	dpollifrone8606@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 ID	State	Provider type	PAC ID	Details
I20031217000212	IN	Practitioner - Urology	2668378290

Care Compare profile

Medicare Care Compare

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

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Lima Memorial Joint Operating Company		Past	Accepting new patients

Interoperability endpoints

Direct secure messaging: dpollifrone8606@direct.parkviewexchange.com

Organizations & group practices 1

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.

Lima Memorial Joint Operating Company
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPD (past)

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1215901574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11141 PARKVIEW PLAZA DR STE 325",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451714",
            "telephone_number": "260-425-5400",
            "fax_number": "260-425-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLIFRONE",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01046999A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921953",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0748972",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000087511",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081380",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200146910",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpollifrone8606@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11141 Parkview Plaza Dr Ste 325",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451714",
            "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": "11141 Parkview Plaza Dr Ste 325",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451714",
            "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": "11141 Parkview Plaza Dr Ste 325",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 3, 2023; 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.

Verify at the official NPI Registry.