Individual provider Active NPI

David E Lentz, DO

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1285625566
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02001826A Issued in IN
Practice address
7980 W Jefferson Blvd
Fort Wayne, IN 46804-4170
Phone
(260) 478-5160
Fax
(260) 432-6524
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02001826A IN Primary

Addresses

Primary practice location

7980 W Jefferson Blvd
Fort Wayne, IN 46804-4170

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

10101 Ernst Rd Ste 1200
Roanoke, IN 46783-9711
Phone (260) 234-5400

Other practice location 2

1809 S Main St
Upland, IN 46989-9257
Phone (765) 770-0650

Other identifiers 8

IdentifierTypeStateIssuer
000000001043OtherMPLAN
080143877OtherINRAILROAD MEDICARE
10117OtherPHYSICIANS HEALTH PLAN
Q00723960OtherINRAILROAD PTAN
1100182712OtherINANTHEM PTAN
200102480MedicaidIN
000000091887OtherBLUE CROSS BLUE SHIELD
P02689456OtherINRAILROAD PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dlentz@direct.iuhealth.org Direct
Direct Messaging Address dlentz@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000816 IN Practitioner - Family Practice 8325135056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions12
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001826AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Fort Wayne Physicians, LLC Family Medicine CurrentSince Feb 12, 2024 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Family Medicine CurrentSince Mar 6, 2023 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Emergency Medicine of Indiana Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

10101 Ernst Rd
Roanoke, IN 46783
Phone (260) 234-5401

10101 Ernst Rd
Ste 1200
Roanoke, IN 46783

10101 Ernst Rd
Ste 1400
Roanoke, IN 46783
Phone (317) 948-2550

1809 S Main St
Upland, IN 46989
Phone (765) 660-7520

Interoperability endpoints

  • Direct secure messaging: dlentz@direct.iuhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1285625566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044170",
            "telephone_number": "260-478-5160",
            "fax_number": "260-432-6524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Ernst Rd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "IN",
            "postal_code": "467839711",
            "country_code": "US",
            "telephone_number": "260-234-5400",
            "fax_number": "260-234-5435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1809 S Main St",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "IN",
            "postal_code": "469899257",
            "country_code": "US",
            "telephone_number": "765-770-0650",
            "fax_number": "765-770-0652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001826A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN",
            "identifier": "000000001043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080143877",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "10117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "Q00723960",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1100182712",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200102480",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000091887",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "P02689456",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlentz@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1809 S Main St",
            "city": "Upland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469899257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlentz@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10101 Ernst Rd Ste 1200",
            "city": "Roanoke",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467839711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.