Michael K Cheezum, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Fort Wayne, IN
NPI 1225235013 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1225235013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 01081422A (IN)
- Practice address
- 11108 Parkview Circle Dr
Fort Wayne, IN 46845-1730 - Phone
- (260) 266-5700
- Fax
- (260) 266-5910
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Health System Inc
Practice addresses (Care Compare)
11108 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Phone (260) 266-5700
Hospital & facility affiliations
- Parkview Regional Medical Center
- Parkview Noble Hospital
- Parkview Whitley Hospital
- Parkview Dekalb Hospital
- Parkview Wabash Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190710000266 | IN | Practitioner - Cardiovascular Disease (Cardiology) | 6507000437 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01081422A | IN | MD | Cardiovascular Disease Physician |
| 0101245408 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Current | Accepting new patients | |
| Parkview Health System, Inc. | Cardiovascular Disease | Current |
Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
11108 Parkview Circle Dr
Fort Wayne, IN 46845
Phone (260) 266-4480
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100
Interoperability endpoints
- mcheezum212468@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101245408 | VA | |
| Cardiovascular Disease Physician | 207RC0000X | 01081422A | IN | Yes |
Addresses
Primary practice location
11108 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
8116 Good Luck Rd
Ste 305
Lanham, MD 20706-3502
Phone (301) 552-1200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mcheezum212468@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Other providers in Fort Wayne, IN
- Sandra Ellen Chauhan
- Kaila Chavarria
- Baylee Chavez
- Frederick Theodore Chaykowski
- Bailee Cheathams
- Chelsie Brown Counseling LLC
- Benjamin Y Chen
- Chen-Nan Chen
- Jacqueline Moorhead Chen
- Kimberly A Chen
All providers in Fort Wayne, IN · Cardiovascular Disease Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.