Active NPI
Timothy H. Pohlman, MD
- Surgical Critical Care Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 01060790A
- Practice address
- 7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804-4128 - Phone
- (260) 458-3610
- Fax
- (260) 458-3611
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 01060790A | IN | Primary |
Addresses
Primary practice location
7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804-4128
Mailing address
6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Phone (260) 479-3514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200846410 | Medicaid | IN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060790A | IN | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlawn Hospital | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| University Surgeons, Inc. | Surgical Critical Care | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Center for Surgical Sciences & Trauma, Inc | Past | Accepting new patients | |
| Respiratory & Critical Care Consultants P C | Past | Accepting new patients | |
| University Surgeons Critical Care, LLC | Surgical Critical Care | Past | Accepting new patients |
Locations
7630 Solutions Ctr
Chicago, IL 60677
1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
Organizations & group practices 8
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.
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- Emergency Medicine Physician
- Rochester, IN
- NPI 1740496074
-
dba Center for Surgical Sciences & Trauma
- Surgery Physician
- Indianapolis, IN
- NPI 1225063167
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Pulmonary Disease Physician
- Indianapolis, IN
- NPI 1801845086
-
- Surgical Critical Care Physician
- Indianapolis, IN
- NPI 1932343373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1487670063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 POINTE INVERNESS WAY STE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047934",
"telephone_number": "260-479-3514",
"fax_number": "260-479-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 W JEFFERSON BLVD STE 306",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044128",
"telephone_number": "260-458-3610",
"fax_number": "260-458-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHLMAN",
"first_name": "TIMOTHY",
"middle_name": "H.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IN",
"license": "01060790A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200846410",
"state": "IN"
}
],
"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 Mar 7, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.