Active NPI
Sam Rhoades, PA-C
- Physician Assistant
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10003816A
- Practice address
- 11104 Parkview Circle Dr Ste 330
Fort Wayne, IN 46845-1674 - Phone
- (260) 494-3484
- Fax
- (260) 969-0188
- NPI assigned
- Oct 3, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003816A | IN | Primary |
Addresses
Primary practice location
11104 Parkview Circle Dr Ste 330
Fort Wayne, IN 46845-1674
Mailing address
120 W 22ND St
Oak Brook, IL 60523-1557
Phone (630) 573-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11104 Parkview Circle Dr
Suite 330
Fort Wayne, IN 46845-1674
Phone (260) 494-3484
569 Tyler St
Gary, IN 46402-1829
Phone (260) 885-3300
7836 W Jefferson Blvd
101 Nephrology Associates of Northern India
Fort Wayne, IN 46804-4178
Phone (260) 494-3484
Hospital & facility affiliations
- Parkview Regional Medical Center
- Parkview Dekalb Hospital
- Adams Memorial Hospital
- Parkview Huntington Hospital
- Parkview Whitley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Promoting interoperability
- 81
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Orthopaedics, LLC | Current | Accepting new patients | |
| Racc Medical Associates LLC | Current | Accepting new patients | |
| Fort Wayne Orthopaedics LLC | Physician Assistant | Current | Accepting new patients |
| Racc Medical Associates LLC | Current | Accepting new patients |
Locations
1314 E 7th St
Ste 201
Auburn, IN 46706
Phone (260) 927-0400
820 Smaltz Way
Ste B
Auburn, IN 46706
Phone (260) 432-1800
1721 Magnavox Way
#A
Fort Wayne, IN 46804
Phone (260) 250-0001
10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825
10319 Dawsons Creek Blvd
Ste F
Fort Wayne, IN 46825
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254
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
Interoperability endpoints
- srhoades81616@direct.acumenmd.com
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 and National Provider Directory roles.
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1578505814
-
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1497758429
Physician Assistant
-
- Physical Medicine & Rehabilitation Physician
- Fort Wayne, IN
- NPI 1184976136
-
- Durable Medical Equipment & Medical Supplies
- Gas City, IN
- NPI 1699425082
-
- Durable Medical Equipment & Medical Supplies
- Warsaw, IN
- NPI 1912666744
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Decatur, IN
- NPI 1689696148
-
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1619691748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231557",
"telephone_number": "630-573-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 PARKVIEW CIRCLE DR STE 330",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451674",
"telephone_number": "260-494-3484",
"fax_number": "260-969-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADES",
"first_name": "SAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-03",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003816A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231557",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 4, 2025; 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.