Organization Active NPI

Dupont Family Medicine

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1356583116
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01042480 Issued in IN
Legal business name
DUPONT FAMILY MEDICINE
Practice address
10020 Dupont Circle CT Ste 120
Fort Wayne, IN 46825-1621
Phone
(260) 471-7233
Fax
(260) 471-4602
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Nehal Singh, MDNPI 1750497293
Title
President
Phone
(260) 471-7233

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 01042480 IN Primary

Addresses

Primary practice location

10020 Dupont Circle CT Ste 120
Fort Wayne, IN 46825-1621

Mailing address

10020 Dupont Circle CT Ste 120
Fort Wayne, IN 46825-1621
Phone (260) 471-7233

Other identifiers 1

IdentifierTypeStateIssuer
100326370MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1356583116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 DUPONT CIRCLE CT STE 120",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251621",
            "telephone_number": "260-471-7233",
            "fax_number": "260-471-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 DUPONT CIRCLE CT STE 120",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251621",
            "telephone_number": "260-471-7233",
            "fax_number": "260-471-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPONT FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "NEHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-471-7233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01042480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100326370",
            "state": "IN"
        }
    ],
    "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 Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.