Active NPI
Jon A Karl, MD
- Pain Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 01065304A
- Practice address
- 5050 N Clinton St
Fort Wayne, IN 46825-5886 - Phone
- (260) 484-8551
- Fax
- (260) 482-5060
- NPI assigned
- Mar 24, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01065304A | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036-115685 | IL | |
| Pain Medicine Physician | 208VP0000X | 01065304A | IN | Primary |
Addresses
Primary practice location
5050 N Clinton St
Fort Wayne, IN 46825-5886
Mailing address
5052 N Clinton St
Fort Wayne, IN 46825-5822
Phone (260) 484-8551
Other practice location 1
1500 Provident Dr Ste B
Warsaw, IN 46580-3297
Phone (574) 269-8301
Other practice location 2
11136 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Phone (260) 484-8551
Other practice location 3
7920 W Jefferson Blvd
Fort Wayne, IN 46804-4168
Phone (260) 484-8551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200898700 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11136 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Phone (260) 484-8551
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551
5052 N Clinton St
Fort Wayne, IN 46825-5822
8202 Glencarin Blvd
Suite 300
Fort Wayne, IN 46804-5783
Phone (260) 484-8551
885 W Connexion Way
Suite 200
Columbia City, IN 46725-1045
Phone (260) 248-9280
Hospital & facility affiliations
- Parkview Huntington Hospital
- Orthopaedic Hospital at Parkview North
- Parkview Regional Medical Center
- Dupont Hospital LLC
- Kosciusko Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 85.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-115685 | IL | MD | Pain Medicine (Anesthesiology) Physician |
| 01065304A | IN | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics Northeast PC | Current | Accepting new patients | |
| Orthopaedics Northeast PC | Current | Accepting new patients |
Locations
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
11136 Parkview Circle Dr
Fort Wayne, IN 46845
7920 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2668
5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203
5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551
8202 Glencarin Blvd
Ste 300
Fort Wayne, IN 46804
Phone (260) 484-1855
315 E 200 N
Warsaw, IN 46582
Phone (574) 269-8301
1500 Provident Dr
Ste B
Warsaw, IN 46580
Phone (574) 269-8301
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1740268796
-
- Ambulatory Surgical Clinic/Center
- Fort Wayne, IN
- NPI 1417936477
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1538110556
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- Special Hospital
- Fort Wayne, IN
- NPI 1568664613
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- General Acute Care Hospital
- Warsaw, IN
- NPI 1164475711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1548432115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5052 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255822",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255886",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060"
}
],
"practiceLocations": [
{
"address_1": "1500 Provident Dr Ste B",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "IN",
"postal_code": "465803297",
"country_code": "US",
"telephone_number": "574-269-8301",
"fax_number": "574-269-8302",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11136 Parkview Circle Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451730",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7920 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044168",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARL",
"first_name": "JON",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-24",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01065304A",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036-115685",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "IN",
"license": "01065304A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200898700",
"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 Oct 22, 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.
- 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.