Individual provider Active NPI

Thomas A. Straub, PA

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1548696206
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1721 Magnavox Way
Fort Wayne, IN 46804-1537
Phone
(260) 748-3650
Fax
(260) 748-3651
NPI assigned
Sep 25, 2013
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IN Primary

Addresses

Primary practice location

1721 Magnavox Way
Fort Wayne, IN 46804-1537

Mailing address

PO Box 670
Huntertown, IN 46748-0670
Phone (260) 748-3650

Other practice location 1

2124 N Biomet Dr
Warsaw, IN 46582-7858
Phone (260) 748-3650

Other practice location 2

6811 Lima Rd
Fort Wayne, IN 46818-1145
Phone (260) 748-3650

Other practice location 3

1314 E 7th St Ste 201
Auburn, IN 46706-2533
Phone (260) 748-3650

Other practice location 4

2512 E DuPont Rd
Suite# 200
Fort Wayne, IN 46825-1609
Phone (260) 748-3650

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423000106 IN Practitioner - Physician Assistant 4385876556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Racc Medical Associates LLCGroup PAC ID 0648424127, 20 clinicians

Practice addresses (Care Compare)

1025 Manchester Ave
Suite a
Wabash, IN 46992-1425
Phone (260) 748-3650

10319 Dawsons Creek Blvd
Suite Fandg
Fort Wayne, IN 46825-1911
Phone (260) 748-3650

1314 E 7TH St
Suite 201
Auburn, IN 46706-2533
Phone (260) 748-3650

1721 Magnavox Way
Fort Wayne, IN 46804-1537
Phone (260) 748-3650

2124 N Biomet Dr
Warsaw, IN 46582-7858
Phone (260) 748-3650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Racc Medical Associates LLC CurrentSince Jan 28, 2014 Accepting new patients
Major Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1314 E 7th St
Ste 201
Auburn, IN 46706
Phone (260) 927-0400

10319 Dawsons Creek Blvd
Ste F
Fort Wayne, IN 46825

1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001

1721 Magnavox Way
#A
Fort Wayne, IN 46804
Phone (260) 250-0001

1721 Magnavox Way
#B
Fort Wayne, IN 46804
Phone (206) 748-3650

2512 E DuPont Rd
Ste 200
Fort Wayne, IN 46825
Phone (260) 458-3760

6811 Lima Rd
Fort Wayne, IN 46818
Phone (260) 969-2323

7635 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 432-4400

519 Professional Way
Kendallville, IN 46755
Phone (260) 347-3770

330 N Wabash Ave
Ste 410
Marion, IN 46952
Phone (765) 651-4265

1025 Manchester Ave
Ste A
Wabash, IN 46992

2124 N Biomet Dr
Warsaw, IN 46582
Phone (574) 267-2663

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1548696206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467480670",
            "telephone_number": "260-748-3650",
            "fax_number": "260-748-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MAGNAVOX WAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041537",
            "telephone_number": "260-748-3650",
            "fax_number": "260-748-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 N Biomet Dr",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465827858",
            "country_code": "US",
            "telephone_number": "260-748-3650",
            "fax_number": "260-748-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6811 Lima Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468181145",
            "country_code": "US",
            "telephone_number": "260-748-3650",
            "fax_number": "260-748-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 E 7th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "IN",
            "postal_code": "467062533",
            "country_code": "US",
            "telephone_number": "260-748-3650",
            "fax_number": "260-748-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2512 E DuPont Rd",
            "address_2": "Suite# 200",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251609",
            "country_code": "US",
            "telephone_number": "260-748-3650",
            "fax_number": "260-748-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.