Organization Active NPI

Lutheran Medical Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
National Provider Identifier
1710275664
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LUTHERAN MEDICAL GROUP LLC
Practice address
3534 Brooklyn Ave
Fort Wayne, IN 46809-1361
Phone
(260) 432-2297
NPI assigned
Jul 13, 2011
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Kristy Music
Title
Director
Phone
(877) 892-9815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3534 Brooklyn Ave
Fort Wayne, IN 46809-1361

Mailing address

PO Box 4852
Belfast, ME 04915-4852
Phone (877) 848-1463

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2167672Lutheran Medical Group, LLC3534 Brooklyn Avenue, Fort Wayne, IN 46809Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Locations

306 E Maumee St
Ste 6
Angola, IN 46703
Phone (260) 665-2263

3270 Intertech Dr
Ste B
Angola, IN 46703
Phone (260) 665-9100

815 High St
Ste D
Decatur, IN 46733
Phone (219) 724-8551

955 High St
Ste 3
Decatur, IN 46733
Phone (219) 724-2125

2101 E Coliseum Blvd
Rm 234
Fort Wayne, IN 46805
Phone (260) 481-5748

2510 E DuPont Rd
Ste 108
Fort Wayne, IN 46825
Phone (260) 416-5896

3124 E State Blvd
Ste 2B
Fort Wayne, IN 46805
Phone (219) 436-1783

5717 S Anthony Blvd
Ste 101
Fort Wayne, IN 46806
Phone (260) 469-3984

5717 S Anthony Blvd
Ste 800
Fort Wayne, IN 46806
Phone (260) 447-8982

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

7230 Engle Rd
Ste 340
Fort Wayne, IN 46804
Phone (260) 432-4488

7900 W Jefferson Blvd
Ste 202
Fort Wayne, IN 46804
Phone (260) 424-9000

7900 W Jefferson Blvd
Ste 306
Fort Wayne, IN 46804
Phone (260) 458-3610

7910 W Jefferson Blvd
Ste 102
Fort Wayne, IN 46804
Phone (260) 436-2424

7910 W Jefferson Blvd
Ste 205B
Fort Wayne, IN 46804
Phone (260) 397-7463

7910 W Jefferson Blvd
Ste 210
Fort Wayne, IN 46804
Phone (260) 435-6722

7910 W Jefferson Blvd
Ste 219
Fort Wayne, IN 46804
Phone (260) 435-3240

7910 W Jefferson Blvd
Ste 300
Fort Wayne, IN 46804
Phone (260) 432-1800

7938 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-8748

7950 W Jefferson Blvd
Ste 212
Fort Wayne, IN 46804
Phone (260) 435-6633

800 Broadway
Ste 100
Fort Wayne, IN 46802
Phone (260) 425-2630

800 Broadway
Ste 201
Fort Wayne, IN 46802
Phone (260) 425-3160

407 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-8700

14409 Sunrise Ct
Leo, IN 46765
Phone (260) 627-2191

85 E US Highway 6
Ste 310
Valparaiso, IN 46383
Phone (219) 983-6380

Practitioners & affiliated clinicians

Practitioners 295

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 295

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1710275664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4852",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154852",
            "telephone_number": "877-848-1463",
            "fax_number": "615-925-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 BROOKLYN AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468091361",
            "telephone_number": "260-432-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9815"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.