Individual provider Active NPI

Timothy H. Pohlman, MD

  • Surgical Critical Care Physician
  • Fort Wayne, IN
National Provider Identifier
1487670063
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
01060790A Issued in IN
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

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200846410MedicaidIN

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
I20061219000054 IN Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 8123027265 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060790AINMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlawn Hospital CurrentSince Sep 1, 2019 Accepting new patients
Woodlawn Hospital CurrentSince Sep 1, 2019 Accepting new patients
Woodlawn Hospital Current Accepting new patients
University Surgeons, Inc. Surgical Critical Care CurrentSince Oct 7, 2010 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.

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

Verify at the official NPI Registry.