Active NPI
John Louis Bormann, MD
- Diagnostic Radiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01042016
- Practice address
- 7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159 - Phone
- (260) 436-0800
- Fax
- (260) 483-1911
- NPI assigned
- Jan 27, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01042016 | 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 practice location 1
5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701
Phone (260) 432-1568
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100333820 | Medicaid | IN | |
| 1689645707 | Medicaid | MI | |
| 0959155 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050126000624 | IN | Practitioner - Diagnostic Radiology | 3577513639 | Reassigns benefits to 8 organizations |
| I20090202000595 | MI | Practitioner - Diagnostic Radiology | 3577513639 | Reassigns benefits to 3 organizations |
| I20131017000479 | OH | Practitioner - Diagnostic Radiology | 3577513639 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry County Memorial HospitalElla E M Brown Charitable CircleX-Ray Physicians of Shelbyville PCPacific Imaging Associates LLCGreene County General HospitalSummit Radiology P CAmerican Oncology Partners PA
Practice addresses (Care Compare)
1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890
10320 Covington Rd
Fort Wayne, IN 46804-2549
Phone (269) 781-4271
1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054
200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271
208 Columbus St
Hicksville, OH 43526-1250
Phone (903) 663-4800
2209 Turnberry LN
Fort Wayne, IN 46814-9354
Phone (269) 781-4271
2451 Intelliplex Dr
Shelbyville, IN 46176-8580
5001 US Hwy 30 W D
Fort Wayne, IN 46818-9701
Phone (260) 432-1568
7221 Engle Rd
Suite 220
Fort Wayne, IN 46804-2233
7910 W Jefferson Blvd
Suite 108
Fort Wayne, IN 46804-4159
Phone (260) 436-0800
916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 659-4482
Hospital & facility affiliations
- Lutheran Hospital of Indiana
- Marion General Hospital
- Oaklawn Hospital
- Memorial Hospital
- Kosciusko Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01042016 | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| American Oncology Partners PA | Diagnostic Radiology | Current | Accepting new patients |
| Major Hospital | Current | Accepting new patients | |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| X-Ray Physicians of Shelbyville PC | Diagnostic Radiology | Current | Accepting new patients |
| Ella E M Brown Charitable Circle | Diagnostic Radiology | Current | Accepting new patients |
| Greene County General Hospital | Current | Accepting new patients | |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Direct Imaging LLC | Current | Accepting new patients | |
| Pacific Imaging Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ella E M Brown Charitable Circle | Current | Accepting new patients | |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| Greene County General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| St. Joseph Health System, LLC | Past | Accepting new patients | |
| Imaging Diagnostic Center Limited | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 33)
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
1524 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 532-7092
3425 Buford Dr
Ste 100
Buford, GA 30519
Phone (678) 765-6060
495 Highway 400
Dahlonega, GA 30533
Phone (469) 757-1107
227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136
108 Prominence Ct
Ste 120
Dawsonville, GA 30534
Phone (706) 344-6944
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
725 Jesse Jewell Pkwy SE
Ste 360
Gainesville, GA 30501
Phone (770) 539-9391
3137 Frontage Rd
Gainesville, GA 30504
Phone (770) 219-0500
1250 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Phone (770) 531-2444
316 N Broad St
Ste 230
Winder, GA 30680
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252
1120 Professional Blvd
Evansville, IN 47714
Phone (812) 471-7086
7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127
5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471
7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
5001 US Highway 30 W
Ste D
Fort Wayne, IN 46818
Phone (260) 469-8273
7900 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 426-6667
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040
1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281
1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890
Organizations & group practices 29
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.
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1073584587
Diagnostic Radiology, IN, MI, OH
-
- Diagnostic Radiology Physician
- Shelbyville, IN
- NPI 1144351347
Diagnostic Radiology, IN, MI, OH
-
- Hematology & Oncology Physician
- Columbus, OH
- NPI 1265929723
Diagnostic Radiology, IN
-
- Diagnostic Radiology Physician
- Marshall, MI
- NPI 1043660467
Diagnostic Radiology, IN
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1265137574
Diagnostic Radiology, IN
-
- Diagnostic Radiology Physician
- Gainesville, GA
- NPI 1922037605
Diagnostic Radiology, IN
-
- Rural Health Clinic/Center
- Newberry, IN
- NPI 1053808683
-
- Skilled Nursing Facility
- Linton, IN
- NPI 1205852712
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": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1689645707",
"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": "260-436-0800",
"fax_number": "260-483-1911"
}
],
"practiceLocations": [
{
"address_1": "5001 US Highway 30 W Ste D",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468189701",
"country_code": "US",
"telephone_number": "260-432-1568",
"fax_number": "260-432-4969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORMANN",
"first_name": "JOHN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01042016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100333820",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689645707",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0959155",
"state": "OH"
}
],
"endpoints": [],
"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 Dec 17, 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.