Phillip W. Corbin, M.D.
Individual provider Active NPI Family Medicine Physician · Avilla, IN
NPI 1376538819 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1376538819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01046482 (IN)
- Practice address
- 104 Nicholas PL
Avilla, IN 46710-0069 - Phone
- (260) 897-3308
- Fax
- (260) 897-3650
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Health System Inc
Practice addresses (Care Compare)
817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590
Hospital & facility affiliations
- Interim Healthcare of Fort Wayne
- Parkview Health at Home LLC
- Parkview Noble Hospital
- Parkview Regional Medical Center
- Parkview Whitley Hospital
- Parkview Lagrange Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Parkview Noble Hospital |
Hospital | Corporate Officer | Jan 1, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050516000563 | IN | Practitioner - Family Practice | 1153362611 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Community Hospital of Noble County, Inc. | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
104 Nicholas Pl
Avilla, IN 46710
Phone (260) 897-3308
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
1234 E DuPont Rd
Ste 3
Fort Wayne, IN 46825
Phone (260) 373-9965
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
1464 Lincolnway S
#B
Ligonier, IN 46767
Phone (219) 894-7139
Interoperability endpoints
- pcorbin3926@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01046482 | IN | Yes |
Addresses
Primary practice location
104 Nicholas PL
Avilla, IN 46710-0069
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200179540A | Medicaid | IN | |
| 000000364991 | Other | IN | ANTHEM |
| 000000570555 | Other | IN | ANTHEM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcorbin3926@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/ |
Other providers in Avilla, IN
- Theresa Lynn Bergman
- Aleena Danae Brown
- Barbara Jean Cary
- James D. Chandler
- Rheta Denise Conner
- Fischer Pharmacare, LLC
- Sara Michele Fuller
- Alison Hullinger
- Dennis W. Lamp
- Kirsten Lane
All providers in Avilla, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.