Active NPI
Lakshmi Aggarwal, MD
- Hematology & Oncology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 01050794A
- Practice address
- 2514 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1619 - Phone
- (260) 484-8830
- Fax
- (260) 483-1911
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 01050794A | IN | Primary |
Addresses
Primary practice location
2514 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1619
Mailing address
2514 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1619
Phone (260) 484-8830
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000111210 | Other | IN | ANTHEM |
| 000000667589 | Other | IN | ANTHEM |
| 200233020 | Medicaid | IN | |
| 3044897 | Medicaid | OH |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040524001274 | IN | Practitioner - Hematology/Oncology | 0840281119 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.69 of 100
- Quality
- 86.47
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 60.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Medical Oncology and Hematology, Inc | Hematology & Oncology | Current | Accepting new patients |
| Fort Wayne Medical Oncology and Hematology, Inc. | Hematology & Oncology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
516 E Maumee St
Angola, IN 46703
Phone (219) 624-2120
6610 Mutual Dr
Fort Wayne, IN 46825
2514 E DuPont Rd
Ste 100
Fort Wayne, IN 46825
Phone (604) 848-8302
11143 Parkview Plaza Dr
Ste 100
Fort Wayne, IN 46845
Phone (260) 266-7400
7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830
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.
-
- Hematology & Oncology Physician
- Fort Wayne, IN
- NPI 1376533158
Hematology & Oncology, IN
-
- Hematology & Oncology Physician
- Angola, IN
- NPI 1528044005
Hematology & Oncology
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1528060431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 E DUPONT RD STE 100",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251619",
"telephone_number": "260-484-8830",
"fax_number": "260-483-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 E DUPONT RD STE 100",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251619",
"telephone_number": "260-484-8830",
"fax_number": "260-483-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGGARWAL",
"first_name": "LAKSHMI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01050794A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000111210",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000667589",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200233020",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3044897",
"state": "OH"
}
],
"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 May 6, 2020; 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.