Individual provider Active NPI

Chad Hemmer, MD

  • Emergency Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1720004682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01056896 Issued in IN
Practice address
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone
(260) 435-7001
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01056896 IN Primary

Addresses

Primary practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Mailing address

10027 Agora PL
Fort Wayne, IN 46804-8711
Phone (230) 432-0402

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
I20070122000492 IN Practitioner - Emergency Medicine 1254332059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management of ElwoodGroup PAC ID 2062849474, 3 clinicians

Practice addresses (Care Compare)

2976 N Scatterfield Rd
Suite 111
Anderson, IN 46012-1586
Phone (765) 400-4662

Hospital & facility affiliations

  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113
  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056896INMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management of Elwood CurrentSince Aug 1, 2022 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Nov 1, 2017 Accepting new patients
Danville Family Eye Care LLC Past Accepting new patients
Emergency Medicine of Indiana Emergency Medicine Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

2976 N Scatterfield Rd
Ste 111
Anderson, IN 46012
Phone (765) 400-4662

7408 W State Road 28
Elwood, IN 46036
Phone (765) 557-2245

13100 E 136th St
Fishers, IN 46037
Phone (317) 678-2000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

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 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720004682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10027 AGORA PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468048711",
            "telephone_number": "230-432-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-435-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMER",
        "first_name": "CHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01056896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.