Active NPI
Dupont Family Medicine
- Family Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1356583116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01042480
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nehal Singh, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100326370 | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1750497293
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.