Active NPI
David Arnold Feaker Jr., DO
- Orthopaedic Surgery Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 02006331A
- Practice address
- 7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (260) 436-8686
- Fax
- (260) 436-8585
- NPI assigned
- Mar 29, 2012
- Last updated
- Sep 8, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | 2018-02486 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 0102203515 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 51875 | SC | |
| Orthopaedic Surgery Physician | 207X00000X | 02006331A | IN | Primary |
Addresses
Primary practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
PO Box 2526
Fort Wayne, IN 46801-2526
Phone (260) 436-8686
Other practice location 1
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-1814
Other practice location 2
1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone (843) 228-2459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300049664 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfeaker299441@direct.vidanthealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IN
- 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
- Orthopedic Surgery
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10106 Dupont Circle Dr E
Suite 150
Fort Wayne, IN 46825-1640
Phone (800) 566-5659
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (260) 436-8686
Hospital & facility affiliations
- The Orthopaedic Hospital of Lutheran Health Networ
- Kosciusko Community Hospital
- Lutheran Hospital of Indiana
- Woodlawn Hospital
- Parkview Whitley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Promoting interoperability
- 81
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 12 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02006331A | IN | MD | Orthopaedic Surgery Physician |
| 2018-02486 | NC | MD | Orthopaedic Surgery Physician |
| 0102203515 | VA | MD | Orthopaedic Surgery Physician |
| 51875 | SC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Dukes Physician Services LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Fort Wayne Orthopaedics LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Lutheran Medical Group LLC | Past | Accepting new patients |
Locations
820 Smaltz Way
Ste B
Auburn, IN 46706
Phone (260) 432-1800
10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825
2512 E DuPont Rd
Ste 110
Fort Wayne, IN 46825
Phone (260) 434-6076
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254
4900 Beaner Blvd
Gas City, IN 46933
Phone (765) 573-0725
8450 Northwest Blvd
Indianapolis, IN 46278
285 W 12th St
Ste 106
Peru, IN 46970
Phone (765) 472-8041
285 W 12th St
Ste 205
Peru, IN 46970
Phone (765) 472-5335
700 Main St
Rochester, IN 46975
Phone (574) 223-4337
1700 Alber St
Wabash, IN 46992
Phone (260) 563-9405
701 Orthopaedic Dr
Warsaw, IN 46582
Phone (260) 435-6722
701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
Interoperability endpoints
- david.feaker.p1@direct.fwortho.nextgenshare.com
- dfeaker299441@direct.vidanthealth.com
- dfeaker455933@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1497758429
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
-
- Durable Medical Equipment & Medical Supplies
- Gas City, IN
- NPI 1699425082
Orthopaedic Surgery
-
dba Orthoindy-Northwest
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1073622015
-
dba Orthoindy
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba The Orthopaedic Hospital of Lutheran Health Network
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
dba Lutheran Kosciusko Hospital
- General Acute Care Hospital
- Warsaw, IN
- NPI 1164475711
-
dba Parkview Whitley Hospital
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
dba Parkview Whitley Hospital
- Land Ambulance
- Columbia City, IN
- NPI 1497764450
Hospital
-
- Critical Access Hospital
- Rochester, IN
- NPI 1265413405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1316213747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2526",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468012526",
"telephone_number": "260-436-8686",
"fax_number": "260-436-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044133",
"telephone_number": "260-436-8686",
"fax_number": "260-436-8585"
}
],
"practiceLocations": [
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-1814",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Pinckney Blvd",
"address_purpose": "LOCATION",
"city": "Beaufort",
"state": "SC",
"postal_code": "299026122",
"country_code": "US",
"telephone_number": "843-228-2459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEAKER",
"first_name": "DAVID",
"middle_name": "ARNOLD",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-29",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2018-02486",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0102203515",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "51875",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "02006331A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300049664",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfeaker299441@direct.vidanthealth.com",
"affiliation": "N",
"endpointDescription": "Vidant Medical Center",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 8, 2021; 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.