Individual provider Active NPI

Lamprinos Michailidis, MD

  • Gastroenterology Physician
  • Fort Wayne, IN
National Provider Identifier
1588079438
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01101259A Issued in IN
Practice address
11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone
(260) 266-5230
Fax
(260) 458-5972
NPI assigned
Jun 29, 2014
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 50345 KY
Gastroenterology Physician 207RG0100X 01101259A IN Primary

Addresses

Primary practice location

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200721000500 KY Practitioner - Gastroenterology 5698089696 Reassigns benefits to 1 organization
I20240710003368 OH Practitioner - Gastroenterology 5698089696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

991 Medical Park Dr
Suite 203
Maysville, KY 41056-8728
Phone (606) 759-5157

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy90
Upper gastrointestinal (GI) endoscopy for acid reflux98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Digestive Health Network Gastroenterology CurrentSince Jun 1, 2024 Accepting new patients
Meadowview Physician Practice, LLC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Meadowview Physician Practice LLC CurrentSince Oct 1, 2025 Accepting new patients
Anderson Endoscopy Center LLC Past Accepting new patients
Meadowview Physician Practice LLC Internal Medicine Past Accepting new patients

Locations

991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

991 Medical Park Dr
Ste 203
Maysville, KY 41056
Phone (606) 759-4869

3648 Werk Rd
Cincinnati, OH 45248
Phone (513) 233-4100

7661 Beechmont Ave
Ste 120
Cincinnati, OH 45255
Phone (513) 231-9010

100 Arrow Springs Blvd
#200
Lebanon, OH 45036
Phone (513) 231-9010

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • FHIR API: https://79ae3049-556a-47bf-9486-6753203f5b3d.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: lamprinos.michailidis.1@19475.direct.athenahealth.com
  • Direct secure messaging: lamprinosmichailidis@cgi.allscriptsdirect.net

Organizations & group practices 5

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 2

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": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1588079438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 PARKVIEW CIRCLE DR STE 310",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451733",
            "telephone_number": "260-266-5230",
            "fax_number": "260-458-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAILIDIS",
        "first_name": "LAMPRINOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-29",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "50345",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01101259A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.