Fort Wayne Vascular Care LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FORT WAYNE VASCULAR CARE LLC

Practice address

1833 Magnavox Way # 100
Fort Wayne, IN 46804-1539

Phone

(260) 918-0997

Fax

(260) 436-7665

NPI assigned

Aug 14, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manish Tanna

Title

MD

Phone

(630) 573-5000

Specialties & licenses 1

Addresses

Other names 1

• Nephrology Associates of Northern Indiana PC Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Fort Wayne Vascular Care LLC Dba Nephrology Associates of Northern Indiana PCCCN 15C0001216

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Bridges Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Wayne, IN
  • NPI 1366745630

  Member Of

  NPD member

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nadeem Waheed Najam, MD

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1982669495

  IN, Nephrology

  Medicare reassignment NPD
• Parishurama Sankepally Reddy, M.D.

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1003922584

  IN, Nephrology

  Medicare reassignment NPD
• Shehla Sheikh, M.D

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1891974879

  IN, Nephrology

  Medicare reassignment NPD
• Khalil B Dahdah, MD

  • Nephrology Physician
  • Hampton, VA
  • NPI 1447356241

  IN, Nephrology

  Medicare reassignment NPD
• Andrew Kowalski, M.D.

  • Nephrology Physician
  • Addison, IL
  • NPI 1114293123

  IN, Nephrology

  Medicare reassignment NPD
• Atlee T Baker, MD

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1225667645

  Nephrology

  NPD
• Shori Scott Christian Gerardot, MD

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1417584848

  Nephrology

  NPD
• Thomas Carl Golubski, MD

  • Nephrology Physician
  • Merrillville, IN
  • NPI 1639176118

  Nephrology

  NPD
• Monicah Kariuki, NP

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1083205496
  NPD

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1225684368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST",
            "address_2": "SUITE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000",
            "fax_number": "630-368-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 MAGNAVOX WAY # 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041539",
            "telephone_number": "260-918-0997",
            "fax_number": "260-436-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WAYNE VASCULAR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "TANNA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-573-5000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nephrology Associates of Northern Indiana PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nephrology Associates of Northern Indiana PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Wayne Rheumatology
• Fort Wayne Seating & Rehab Corporation
• Fort Wayne Smiles PC
• Fort Wayne Upright MRI, LLC
• Fort Wayne Urology Inc.
• Fort Wayne Vision Associates LTD
• Jill Diane Forte, M.S., BCBA
• Robert A Forte, MD
• Guy H Fortier, DDS
• Zachary Edward Fortier, DMD

• All providers in Fort Wayne, IN
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.