Active NPI
Kevin Alton Vaught, MD
- Neurological Surgery Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 01092890A
- Practice address
- 7910 W Jefferson Blvd Ste 120
Fort Wayne, IN 46804-4159 - Phone
- (260) 969-7137
- Fax
- (260) 435-7672
- NPI assigned
- May 6, 2006
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 01092890A | IN | Primary |
Addresses
Primary practice location
7910 W Jefferson Blvd Ste 120
Fort Wayne, IN 46804-4159
Mailing address
6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Phone (260) 479-3514
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kevin.Vaught@lutheranhealthnetwork.cernerdirect.com |
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
- Neurosurgery
- Education
- Baylor College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7910 W Jefferson Blvd
Suite 120
Fort Wayne, IN 46804-4159
Phone (260) 434-6339
Hospital & facility affiliations
- Lutheran Hospital of Indiana
- Kosciusko Community Hospital
- Dupont Hospital LLC
- Marion General Hospital
- Bluffton Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01092890A | IN | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Carolina Neurosurgical Services, P.a. | Neurological Surgery | Past | Accepting new patients |
| East Tennessee Brain & Spine Center, PC | Neurological Surgery | Past | Accepting new patients |
| FHPG, LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
2512 E DuPont Rd
Ste 110
Fort Wayne, IN 46825
Phone (260) 434-6076
7910 W Jefferson Blvd
Ste 300
Fort Wayne, IN 46804
Phone (260) 432-1800
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
7900 W Jefferson Blvd
Ste 306
Fort Wayne, IN 46804
Phone (260) 458-3610
7910 W Jefferson Blvd
Ste 120
Fort Wayne, IN 46804
Phone (260) 435-7612
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
Interoperability endpoints
- kevin.vaught@lutheranhealthnetwork.cernerdirect.com
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
-
- Specialist
- Fayetteville, NC
- NPI 1649376898
Neurological Surgery
-
- Neurological Surgery Physician
- Johnson City, TN
- NPI 1366452914
-
- Specialist
- Pinehurst, NC
- NPI 1770512865
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bluffton, IN
- NPI 1376594366
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1538110556
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
- 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": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1689623811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 POINTE INVERNESS WAY STE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047934",
"telephone_number": "260-479-3514",
"fax_number": "260-479-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 W JEFFERSON BLVD STE 120",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044159",
"telephone_number": "260-969-7137",
"fax_number": "260-435-7672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHT",
"first_name": "KEVIN",
"middle_name": "ALTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01092890A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kevin.Vaught@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "7910 W Jefferson Blvd Ste 120",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468044159",
"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 Aug 14, 2024; 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.