Individual provider Active NPI

Ajiru S Nyambwa, M.D.

  • Emergency Medicine Physician
  • Auburn, IN
National Provider Identifier
1457796674
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01076513A Issued in IN
Practice address
1316 E 7TH St
Auburn, IN 46706-2538
Phone
(260) 925-4600
Fax
(260) 482-4442
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01076513A IN Primary

Addresses

Primary practice location

1316 E 7TH St
Auburn, IN 46706-2538

Mailing address

608 Union Chapel Rd
Fort Wayne, IN 46845-9357
Phone (260) 482-4440

Other identifiers 1

IdentifierTypeStateIssuer
201349650MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518000435 IN Practitioner - Emergency Medicine 6901195783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Physicians PCGroup PAC ID 2769384213, 79 clinicians

Practice addresses (Care Compare)

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 373-4000

Hospital & facility affiliations

  • Parkview Dekalb Hospital Hospital, Auburn, IN, CCN 150045
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091

Merit-based Incentive Payment System (MIPS)

Final score
95.38 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
83.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince May 1, 2016 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Interventional Pain Consultants, LLC PastSince Feb 20, 2009 Accepting new patients

Locations

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

3640 New Vision Dr
Ste A
Fort Wayne, IN 46845
Phone (260) 482-4440

608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1457796674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 UNION CHAPEL RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459357",
            "telephone_number": "260-482-4440",
            "fax_number": "260-482-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E 7TH ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062538",
            "telephone_number": "260-925-4600",
            "fax_number": "260-482-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAMBWA",
        "first_name": "AJIRU",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01076513A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201349650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.