Individual provider Active NPI

John Lacunza, M.D.

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1235299975
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01063881A Issued in IN
Practice address
5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701
Phone
(260) 432-1568
Fax
(260) 432-4969
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01063881A IN Primary
Body Imaging Physician 2085B0100X 01063881A IN

Addresses

Primary practice location

5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Other practice location 1

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Other identifiers 3

IdentifierTypeStateIssuer
200864150MedicaidIN
1235299975MedicaidMI
2786070MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, NV, DC, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20070814000806 IN Practitioner - Diagnostic Radiology 9032219399 Reassigns benefits to 4 organizations
I20090130000582 MI Practitioner - Diagnostic Radiology 9032219399 Reassigns benefits to 1 organization
I20130531000087 NV Practitioner - Diagnostic Radiology 9032219399 Reassigns benefits to 10 organizations
I20250213003298 DC Practitioner - Diagnostic Radiology 9032219399 Reassigns benefits to 1 organization
I20250929001429 CA Practitioner - Diagnostic Radiology 9032219399 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians
Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

322 Karen Ave
Suite 3905
Las Vegas, NV 89109-0454
Phone (260) 432-1568

5001 US Hwy 30 W D
Fort Wayne, IN 46818-9701
Phone (260) 432-1568

604 S Beach Blvd
Apt 23
Anaheim, CA 92804-3138
Phone (269) 781-4271

916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 659-4482

9901 Trailwood Dr
Apt 1020
Las Vegas, NV 89134-6680
Phone (903) 663-4800

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • The Orthopaedic Hospital of Lutheran Health Networ Hospital, Ft Wayne, IN, CCN 150168
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Greene County General Hospital Hospital, Linton, IN, CCN 151317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01063881AINMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital Body Imaging CurrentSince Apr 8, 2017 Accepting new patients
American Oncology Partners PA Body Imaging CurrentSince Jan 2, 2025 Accepting new patients
Dimensions Healthcare Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Sep 1, 2007 Accepting new patients
Henry County Memorial Hospital CurrentSince Apr 8, 2017 Accepting new patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Nov 4, 2024 Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Feb 25, 2013 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Aug 15, 2025 Accepting new patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Direct Imaging LLC CurrentSince Jun 16, 2017 Accepting new patients
Gainesville Radiology Group, PC Body Imaging CurrentSince Jan 1, 2024 Accepting new patients
Tulsa X-Ray Laboratory PLLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jan 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Imaging Diagnostic Center Limited Diagnostic Radiology Past Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

725 Jesse Jewell Pkwy SE
Ste 360
Gainesville, GA 30501
Phone (770) 539-9391

316 N Broad St
Ste 230
Winder, GA 30680

900 Fort Street Mall
Ste 220
Honolulu, HI 96813
Phone (808) 529-9650

5001 US Highway 30 W
Ste D
Fort Wayne, IN 46818
Phone (260) 469-8273

7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830

5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471

7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127

7900 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 426-6667

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

482 Congress St
Portland, ME 04101
Phone (207) 773-8133

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

210 25th Ave N
Ste 602
Nashville, TN 37203
Phone (615) 312-0604

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1235299975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 US HIGHWAY 30 W STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189701",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACUNZA",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01063881A",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IN",
            "license": "01063881A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200864150",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235299975",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2786070",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.