Active NPI
Isabella Buenconsejo Coats, MD
- Family Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1548077233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11024498A
- Practice address
- 750 Broadway Ste 350
Fort Wayne, IN 46802-1412 - Phone
- (260) 423-2675
- Fax
- (260) 969-2905
- NPI assigned
- Dec 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11024498A | IN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
750 Broadway Ste 350
Fort Wayne, IN 46802-1412
Mailing address
750 Broadway Ste 250
Fort Wayne, IN 46802-1412
Phone (260) 423-2675
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 |
|---|---|---|---|---|
| I20250702002391 | IN | Order and Referring Only - Family Practice | 4082127915 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Medical Education Program | Family Medicine | Current | Accepting new patients |
Locations
750 Broadway
Ste 250
Fort Wayne, IN 46802
Phone (260) 423-2675
750 Broadway
Ste 350
Fort Wayne, IN 46802
Phone (260) 423-2675
Interoperability endpoints
- isabella.coats.1@17223.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1184635153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1548077233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 BROADWAY STE 250",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468021412",
"telephone_number": "260-423-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 BROADWAY STE 350",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468021412",
"telephone_number": "260-423-2675",
"fax_number": "260-969-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATS",
"first_name": "ISABELLA",
"middle_name": "BUENCONSEJO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11024498A",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jan 6, 2026; 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.