Individual provider Active NPI

David M Zimmerman, M.D.

  • Hematology & Oncology Physician
  • Fort Wayne, IN
National Provider Identifier
1639148232
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01050092A Issued in IN
Practice address
7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159
Phone
(260) 484-8830
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 01050092A IN
Hematology & Oncology Physician 207RH0003X 01050092A IN Primary

Addresses

Primary practice location

7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other identifiers 3

IdentifierTypeStateIssuer
3045412MedicaidOH
000000389089OtherINANTHEM
200387100MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000900 IN Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7113977521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

2514 E Dupont Rd
Suite 100
Fort Wayne, IN 46825-1619
Phone (260) 484-8830

Hospital & facility affiliations

  • Cameron Health Hospital, Angola, IN, CCN 151315
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150

Merit-based Incentive Payment System (MIPS)

Final score
82.69 of 100Reported as group
Quality
86.47
Promoting interoperability
81
Improvement activities
40
Cost
60.96

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050092AINMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Hematology & Oncology CurrentSince Jan 2, 2025 Accepting new patients
Fort Wayne Medical Oncology and Hematology, Inc Hematology & Oncology CurrentSince Aug 1, 2006 Accepting new patients
Major Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

516 E Maumee St
Angola, IN 46703
Phone (219) 624-2120

6610 Mutual Dr
Fort Wayne, IN 46825

7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830

11143 Parkview Plaza Dr
Ste 100
Fort Wayne, IN 46845
Phone (260) 266-7400

2514 E DuPont Rd
Ste 100
Fort Wayne, IN 46825
Phone (604) 848-8302

8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040

2505 N Lebanon St
Ste 125
Lebanon, IN 46052
Phone (765) 483-7333

1025 Michigan Ave
Logansport, IN 46947
Phone (574) 753-9000

737 N Detroit St
Warsaw, IN 46580
Phone (260) 436-0259

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1639148232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "239-236-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD STE 108",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-484-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01050092A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01050092A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3045412",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000389089",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200387100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.