Active NPI
Marc E Kaminsky, M.D.
- Diagnostic Radiology Physician
- Fort Wayne, IN
National Provider Identifier
1215989397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 32501
- Practice address
- 3707 New Vision Dr
Fort Wayne, IN 46845 - Phone
- (260) 471-9466
- Fax
- (260) 484-5919
- NPI assigned
- May 17, 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 | 32501 | IN | Primary |
Addresses
Primary practice location
3707 New Vision Dr
Fort Wayne, IN 46845
Mailing address
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 373-4731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000092603 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32501 | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRI Center - Fort Wayne Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Parkview Hospital Inc. | Past | Accepting new patients | |
| Integra Imaging Partners LLC | Diagnostic Radiology | Past | Accepting new patients |
| Summit Radiology P C | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- mkaminsky@yourcarecommunity.org
- mekaminsky@direct.iuhealth.org
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
- Bedford, IN
- NPI 1700967353
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1922061613
-
- Home Infusion Agency
- Fort Wayne, IN
- NPI 1780680942
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1073584587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215989397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 RANDALLIA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054638",
"telephone_number": "260-373-4731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46845",
"telephone_number": "260-471-9466",
"fax_number": "260-484-5919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKY",
"first_name": "MARC",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "32501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000092603",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.