Active NPI
Hospital Care Group, P.C.
- Internal Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1295083624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HOSPITAL CARE GROUP, P.C.
- Practice address
- 6435 W Jefferson Blvd
PMB 109
Fort Wayne, IN 46804 - Phone
- (260) 344-4035
- NPI assigned
- Aug 15, 2012
- Last updated
- Mar 11, 2022
- Organization subpart
- Yes
- Parent organization
- HOSPITAL CARE GROUP, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khurrum Shaikh, MD
- Title
- President
- Phone
- (260) 312-7139
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Psychiatry Physician | 2084P0800X | NU |
Addresses
Primary practice location
6435 W Jefferson Blvd
PMB 109
Fort Wayne, IN 46804
Mailing address
6435 W Jefferson Blvd
PMB 109
Fort Wayne, IN 46804-6203
Phone (260) 312-7139
Other practice location 1
835 Sweitzer St
Greenville, OH 45331-1007
Phone (260) 344-4035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0071471 | Medicaid | OH |
Other names 1
- Hospital Care Group, P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
Enrollment records 2
National Provider Directory
National Provider Directory- Part of
- Hospital Care Group PC
Locations
14417 Illinois Rd
Ste B
Fort Wayne, IN 46814
Phone (260) 478-5228
7970 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2607
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba PrimeCare Clinic
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1578147724
Practitioners & affiliated clinicians
Practitioners 82
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.
-
- Hospitalist Physician
- Lebanon, IN
- NPI 1801037163
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1609887942
-
- Child & Adolescent Psychiatry Physician
- Fort Wayne, IN
- NPI 1396718573
-
- Internal Medicine Physician
- Angola, IN
- NPI 1417565458
-
- Acute Care Nurse Practitioner
- Findlay, OH
- NPI 1437608783
-
- Family Nurse Practitioner
- Van Wert, OH
- NPI 1841646833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646956800000",
"number": "1295083624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD",
"address_2": "PMB 109",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046203",
"telephone_number": "260-312-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD",
"address_2": "PMB 109",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46804",
"telephone_number": "260-344-4035"
}
],
"practiceLocations": [
{
"address_1": "835 Sweitzer St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "OH",
"postal_code": "453311007",
"country_code": "US",
"telephone_number": "260-344-4035",
"fax_number": "260-969-9272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOSPITAL CARE GROUP, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOSPITAL CARE GROUP, P.C.",
"enumeration_date": "2012-08-15",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A",
"authorized_official_last_name": "SHAIKH",
"authorized_official_first_name": "KHURRUM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "260-312-7139",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0071471",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospital Care Group, P.C.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Hospital Care Group, P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.