Active NPI
Michael E Myers, MD
- Emergency Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01038541A
- Practice address
- 2200 Randallia Dr
Fort Wayne, IN 46805-4638 - Phone
- (260) 373-4000
- Fax
- (260) 482-4442
- NPI assigned
- Sep 14, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01038541A | IN | Primary |
Addresses
Primary practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Mailing address
3640 New Vision Dr
Suite a
Fort Wayne, IN 46845-1717
Phone (260) 482-4440
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000012619 | Other | MPLAN | |
| 000000082534 | Other | IN | ANTHEM |
| 104883177 | Medicaid | MI | |
| 200033410 | Medicaid | IN | |
| 2516254 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- 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
- Emergency Medicine
- Education
- Indiana University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020
433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1131
Hospital & facility affiliations
- Parkview Whitley Hospital
- Parkview Huntington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.38 of 100
- Quality
- 87.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Current | Accepting new patients | |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Parkview Wabash Hospital, Inc. | Current | Accepting new patients | |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Parkview Health System, Inc. | Current | Accepting new patients | |
| Interventional Pain Consultants, LLC | Past | Accepting new patients |
Locations
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
353 N Oak St
Columbia City, IN 46725
Phone (260) 248-9000
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000
401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
710 N East St
Wabash, IN 46992
Phone (219) 563-3131
710 N East St
Ste D
Wabash, IN 46992
Phone (260) 569-2901
10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195
1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154
Interoperability endpoints
- mmyers8420@direct.parkviewexchange.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
- Critical Access Hospital
- Montpelier, OH
- NPI 1275575227
-
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
-
- Medicare Defined Swing Bed Hospital Unit
- Montpelier, OH
- NPI 1386687218
-
- Interventional Pain Medicine Physician
- Fort Wayne, IN
- NPI 1164661054
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1285629311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 NEW VISION DR",
"address_2": "SUITE A",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451717",
"telephone_number": "260-482-4440",
"fax_number": "260-482-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 RANDALLIA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054638",
"telephone_number": "260-373-4000",
"fax_number": "260-482-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01038541A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPLAN",
"identifier": "000000012619",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000082534",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104883177",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200033410",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2516254",
"state": "OH"
}
],
"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 May 29, 2013; 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.