Active NPI
Stephanie R Falatko, D.O.
- Neurological Surgery Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 02005129A
- Practice address
- 11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845 - Phone
- (260) 425-6780
- Fax
- (260) 425-6615
- NPI assigned
- May 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | DO.1608 | AL | |
| Neurological Surgery Physician | 207T00000X | 5101018873 | MI | |
| Neurological Surgery Physician | 207T00000X | 02005129A | IN | Primary |
Addresses
Primary practice location
11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
619 19th St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Other practice location 2
619 19th St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfalatko117208@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 AL, IN
- 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
- Neurosurgery
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11104 Parkview Circle Dr
Suite 320
Fort Wayne, IN 46845-1733
Phone (260) 266-5300
Hospital & facility affiliations
- Parkview Regional Medical Center
- Parkview Whitley Hospital
- Parkview Huntington Hospital
- Parkview Noble 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 39 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1608 | AL | MD | Neurological Surgery Physician |
| 02005129A | IN | MD | Neurological Surgery Physician |
| 5101018873 | MI | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
510 20th St S
#1005
Birmingham, AL 35233
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11104 Parkview Circle Dr
Ste 110
Fort Wayne, IN 46845
Phone (260) 425-6780
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
11104 Parkview Circle Dr
Ste 320
Fort Wayne, IN 46845
Phone (260) 266-5300
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
Interoperability endpoints
- sfalatko117208@direct.parkviewexchange.com
Organizations & group practices 2
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.
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Noble Hospital
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Parkview Wabash Hospital
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
dba Parkview Whitley Hospital
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
dba Parkview Whitley Hospital
- Land Ambulance
- Columbia City, IN
- NPI 1497764450
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1225321664",
"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": "11104 PARKVIEW CIRCLE DR STE 110",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46845",
"telephone_number": "260-425-6780",
"fax_number": "260-425-6615"
}
],
"practiceLocations": [
{
"address_1": "619 19th St S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352491900",
"country_code": "US",
"telephone_number": "205-934-4011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 19th St S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352491900",
"country_code": "US",
"telephone_number": "205-934-4011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALATKO",
"first_name": "STEPHANIE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AL",
"license": "DO.1608",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "5101018873",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "02005129A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfalatko117208@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11104 Parkview Circle Dr Ste 110",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "46845",
"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": "11104 Parkview Circle Dr Ste 110",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "46845",
"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": "11104 Parkview Circle Dr Ste 110",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "46845",
"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 Oct 10, 2022; 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.