Active NPI
Joseph Aaron Queen, MD
- Anesthesiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01100315A
- Practice address
- 6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203 - Phone
- (260) 436-7875
- Fax
- (260) 432-9812
- NPI assigned
- Apr 6, 2022
- Last updated
- Jun 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01100315A | IN | Primary |
| Hospitalist Physician | 208M00000X | 4301513105 | MI |
Addresses
Primary practice location
6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203
Mailing address
PO Box 843603
Dallas, TX 75284-0001
Phone (972) 233-1999
Other practice location 1
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000
Other practice location 2
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jqueen3433401@epic00.corewelldirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01100315A | IN | MD | Anesthesiology Physician |
| 4301513105 | MI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Hospitalist | Current | Accepting new patients |
| Associated Anesthesiologists of Fort Wayne PC | Anesthesiology | Past | Accepting new patients |
Locations
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
dba Midwest Anesthesia Associates
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1366183972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843603",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840001",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD # 434",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046203",
"telephone_number": "260-436-7875",
"fax_number": "260-432-9812"
}
],
"practiceLocations": [
{
"address_1": "4201 Saint Antoine St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10000 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "MI",
"postal_code": "481803330",
"country_code": "US",
"telephone_number": "313-295-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUEEN",
"first_name": "JOSEPH",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-06",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01100315A",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301513105",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jqueen3433401@epic00.corewelldirect.org",
"affiliation": "N",
"address_1": "10000 Telegraph Rd",
"city": "Taylor",
"state": "MI",
"country_code": "US",
"postal_code": "481803330",
"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 Jun 1, 2026; 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.