Active NPI
Fort Wayne Endocrinology PC
- Endocrinology, Diabetes & Metabolism Physician
- Fort Wayne, IN
National Provider Identifier
1285786111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- FORT WAYNE ENDOCRINOLOGY PC
- Practice address
- 5010 W Jefferson Blvd
Fort Wayne, IN 46804-6804 - Phone
- (260) 436-1248
- Fax
- (260) 436-7968
- NPI assigned
- Jan 18, 2007
- Last updated
- Feb 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenney Newby
- Title
- Office Manager
- Phone
- (260) 436-1248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
5010 W Jefferson Blvd
Fort Wayne, IN 46804-6804
Mailing address
5010 W Jefferson Blvd
Fort Wayne, IN 46804-6804
Phone (260) 436-1248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200218650 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0955355 | Fort Wayne Endocrinology | Compliance | Dec 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
5010 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 369-8668
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Fort Wayne, IN
- NPI 1902863038
-
- Family Nurse Practitioner
- Fort Wayne, IN
- NPI 1144589409
-
- Nurse Practitioner
- Fort Wayne, IN
- NPI 1861935918
-
- General Practice Physician
- Fort Wayne, IN
- NPI 1053747741
-
- Nurse Practitioner
- Fort Wayne, IN
- NPI 1558769687
-
- Physician Assistant
- Fort Wayne, IN
- NPI 1558498105
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1710938592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770768000000",
"number": "1285786111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046804",
"telephone_number": "260-436-1248",
"fax_number": "260-436-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046804",
"telephone_number": "260-436-1248",
"fax_number": "260-436-7968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WAYNE ENDOCRINOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A",
"authorized_official_last_name": "NEWBY",
"authorized_official_first_name": "JENNEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "260-436-1248"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200218650",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- Fort Wayne Custom RX, Inc (Fort Wayne Custom Rx)
- Fort Wayne Dental Group, LLC
- Fort Wayne Dermatology Consultants Inc
- Fort Wayne Dermatology Consultants Inc
- Fort Wayne Doulas, LLC (Fort Wayne Lactation)
- Fort Wayne Endodontics
- Fort Wayne Endoscopy Center LLC
- Fort Wayne Family Dentistry Inc
- Fort Wayne Family Eyecare
- Fort Wayne Family Eyecare PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.