Andrea K Tufo, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02004309A Issued in IN

Practice address

309 Insurance Dr
Fort Wayne, IN 46825-4252

Phone

(175) 592-1853

Fax

(883) 673-0254

NPI assigned

Jun 15, 2012

Last updated

Jul 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

97.04 of 100Reported as group

Quality

79.76

Promoting interoperability

94

Improvement activities

40

Cost

85.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.tufo.3@14940.direct.athenahealth.com
• Direct secure messaging: andrea.tufo@nhci.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neighborhood Health Clinics, Inc

  • Clinic/Center
  • Fort Wayne, IN
  • NPI 1548291222

  Family Medicine

  Medicare reassignment NPD
• Neighborhood Health Clinics, Inc

  • Clinic/Center
  • Fort Wayne, IN
  • NPI 1730989518
  NPD
• Ourhealth Physicians Group, LLC

  • Clinic/Center
  • Fort Wayne, IN
  • NPI 1386222115
  NPD

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1518229459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E DUPONT RD",
            "address_2": "SUITE 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251545",
            "telephone_number": "260-373-7854",
            "fax_number": "260-458-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 INSURANCE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254252",
            "telephone_number": "175-592-1853",
            "fax_number": "883-673-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFO",
        "first_name": "ANDREA",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004309A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201090320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronaijau Tubbs
• Linzie Tuck, BCBA
• Justine N Tucker, RBT
• Savannah Tucker
• Brittany Michelle Tucovic, PA
• Summer Elaine Tuley, FNP
• Jessica Tullis
• Emily Ann Tumbleson, LAT, ATC
• Satya Prasad Tummala, M.D.
• Aubrey Tun

• Family Medicine Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.

Verify at the official NPI Registry.