Organization Active NPI

Ft Wayne Cardiac Integrative and Primary Care LLC

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1457218406
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FT WAYNE CARDIAC INTEGRATIVE AND PRIMARY CARE LLC
Practice address
7802 W Jefferson Blvd Ste a
Fort Wayne, IN 46804-4138
Phone
(260) 999-6924
Fax
(260) 222-2844
NPI assigned
Jan 9, 2026
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Subhash Reddy, MD
Title
Owner
Phone
(260) 999-6924

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Cardiovascular Disease Physician 207RC0000X NU

Addresses

Primary practice location

7802 W Jefferson Blvd Ste a
Fort Wayne, IN 46804-4138

Mailing address

7802 W Jefferson Blvd Ste a
Fort Wayne, IN 46804-4138
Phone (260) 999-6924

National Provider Directory

National Provider Directory

Locations

7802 W Jefferson Blvd
#A
Fort Wayne, IN 46804
Phone (260) 305-2822

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1457218406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 W JEFFERSON BLVD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044138",
            "telephone_number": "260-999-6924",
            "fax_number": "260-222-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 W JEFFERSON BLVD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044138",
            "telephone_number": "260-999-6924",
            "fax_number": "260-222-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT WAYNE CARDIAC INTEGRATIVE AND PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-999-6924",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.