Active NPI
Brett Patton Gildea, M.D.
- Anesthesiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01070872A
- Practice address
- 5734 Coventry LN
Fort Wayne, IN 46804-7141 - Phone
- (260) 436-7875
- Fax
- (260) 432-9812
- NPI assigned
- Jun 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01070872A | IN | Primary |
Addresses
Primary practice location
5734 Coventry LN
Fort Wayne, IN 46804-7141
Mailing address
5734 Coventry LN
Fort Wayne, IN 46804-7141
Phone (260) 436-7875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Indiana University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4105 Dicke Rd
Fort Wayne, IN 46804-6135
Phone (260) 268-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01070872A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aas Indiana LLC | Anesthesiology | Current | Accepting new patients |
| Parkview Health System Inc | Anesthesiology | Past | Accepting new patients |
| Preferred Anesthesia Consultants, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690
151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100
4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000
6850 Parkdale Pl
Indianapolis, IN 46254
Phone (317) 329-7209
8830 S Meridian St
Indianapolis, IN 46217
Phone (317) 865-5029
8501 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 471-4339
3300 W Purdue Ave
Muncie, IN 47304
Phone (765) 287-9579
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1639176837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1407017544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5734 COVENTRY LN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047141",
"telephone_number": "260-436-7875",
"fax_number": "260-432-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5734 COVENTRY LN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047141",
"telephone_number": "260-436-7875",
"fax_number": "260-432-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILDEA",
"first_name": "BRETT",
"middle_name": "PATTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01070872A",
"primary": true
}
],
"identifiers": [],
"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 May 16, 2014; 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.