Active NPI
Dauda Jimoh
- Certified Registered Nurse Anesthetist
- Fort Wayne, IN
National Provider Identifier
1245165059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28251341A
- Practice address
- 5050 N Clinton St
Fort Wayne, IN 46825-5822 - Phone
- (260) 484-8551
- Fax
- (260) 482-5060
- NPI assigned
- Jun 15, 2026
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28251341A | IN | Primary |
Addresses
Primary practice location
5050 N Clinton St
Fort Wayne, IN 46825-5822
Mailing address
5052 N Clinton St
Fort Wayne, IN 46825-5822
Phone (260) 484-8551
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1245165059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5052 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255822",
"telephone_number": "260-484-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255822",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMOH",
"first_name": "DAUDA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28251341A",
"primary": true
}
],
"identifiers": [],
"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 Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.