Active NPI
Kenneth R Austin, M.D.
- Pain Medicine (Anesthesiology) Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 01061694A
- Practice address
- 11104 Parkview Circle Dr Ste 20
Fort Wayne, IN 46845-1733 - Phone
- (270) 266-5370
- Fax
- (260) 266-5379
- NPI assigned
- Jan 21, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 15466R | LA | |
| Anesthesiology Physician | 207L00000X | 01061694A | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01061694A | IN | Primary |
Addresses
Primary practice location
11104 Parkview Circle Dr Ste 20
Fort Wayne, IN 46845-1733
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kaustin5241@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- 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
- Anesthesiology
- Education
- University of Louisville School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672
Phone (206) 266-5400
1600 W Walnut
Jacksonville, IL 62650-1199
Phone (217) 245-9541
7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Hospital & facility affiliations
- Parkview Regional Medical Center
- Lutheran Hospital of Indiana
- Parkview Dekalb Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15466R | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Anesthesiology | Current | Accepting new patients |
| Jacksonville Crnas Inc | Anesthesiology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
11143 Parkview Plaza Dr
Ste 207
Fort Wayne, IN 46845
Phone (260) 266-5370
11104 Parkview Circle Dr
Ste 20
Fort Wayne, IN 46845
Phone (260) 266-2500
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
Interoperability endpoints
- kaustin5241@direct.parkviewexchange.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Jacksonville, IL
- NPI 1821302068
Anesthesiology
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1366422529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 PARKVIEW CIRCLE DR STE 20",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451733",
"telephone_number": "270-266-5370",
"fax_number": "260-266-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "KENNETH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-21",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "15466R",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01061694A",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01061694A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kaustin5241@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11143 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451727",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11143 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451727",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11143 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451727",
"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 25, 2025; 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.