Active NPI
Jeffrey P Letzer, DO
- Hematology & Oncology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 02005703A
- Practice address
- 11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739 - Phone
- (833) 744-8326
- Fax
- (260) 425-6845
- NPI assigned
- Jul 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 5101010182 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 02005703A | IN | Primary |
Addresses
Primary practice location
11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 281-2030
Other practice location 2
4500 N Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 839-6188
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01008954 | Other | MI | HEALTHPLUS OF MICHIGAN |
| 0N89040 | Other | MI | MEDICARE PLUS BLUE MICHIGAN |
| 14662 | Other | MI | HEALTH PLAN OF MICHIGAN HMO |
| 4290016 | Medicaid | MI | |
| F59303 | Other | MI | TRICARE |
| 830007320 | Other | MI | RAIL ROAD MEDICARE |
| 3600159 | Other | MI | PHP MID MICHIGAN |
| 383578337053 | Other | MI | CARE SOURCE MEDICAID HMO |
| JL010182 | Other | MI | BLUE CROSS BLUE SHIELD MICHIGAN |
| 123610 | Other | MI | GREAT LAKES MEDICAID HMO |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jletzer10213@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | jletzer@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101010182 | MI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Branch County | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Hematology & Oncology | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Regio T Penna MD, PC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Hematology & Oncology | Current | Accepting new patients |
| Kidney Health Clinic,PC | Past | Accepting new patients | |
| Jeffrey P. Letzer, DO, PLC. Dba Kalamazoo Hematology & Oncology | Hematology & Oncology | Past | Accepting new patients |
| Oncology & Hematology PC | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
2845 Capital Ave SW
Ste 302
Battle Creek, MI 49015
Phone (269) 324-0799
363 Fremont St
Ste 305
Battle Creek, MI 49017
Phone (269) 245-8302
632 North Ave
Battle Creek, MI 49017
Phone (269) 969-6145
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
370 E Chicago St
Ste 200
Coldwater, MI 49036
Phone (517) 279-5378
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
Interoperability endpoints
- jletzer10213@direct.parkviewexchange.com
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Hematology & Oncology
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1093119638
Hematology & Oncology
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
-
- Hematology & Oncology Physician
- Kalamazoo, MI
- NPI 1114962644
-
- Community/Retail Pharmacy
- Battle Creek, MI
- NPI 1740351907
-
- Internal Medicine Physician
- Coldwater, MI
- NPI 1306873286
-
- Specialist
- Coldwater, MI
- NPI 1245213537
-
- Nephrology Physician
- Battle Creek, MI
- NPI 1548389141
-
- Specialist
- Kalamazoo, MI
- NPI 1538204169
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- Critical Access Hospital
- Portland, IN
- NPI 1801315692
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1760481766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 PARKVIEW CIRCLE DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451739",
"telephone_number": "833-744-8326",
"fax_number": "260-425-6845"
}
],
"practiceLocations": [
{
"address_1": "2401 W University Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033428",
"country_code": "US",
"telephone_number": "765-281-2030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4500 N Campus Ridge Dr",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "MI",
"postal_code": "486406123",
"country_code": "US",
"telephone_number": "989-839-6188",
"fax_number": "989-839-6221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LETZER",
"first_name": "JEFFREY",
"middle_name": "P",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "5101010182",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "02005703A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS OF MICHIGAN",
"identifier": "01008954",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PLUS BLUE MICHIGAN",
"identifier": "0N89040",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN HMO",
"identifier": "14662",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4290016",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "F59303",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "830007320",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP MID MICHIGAN",
"identifier": "3600159",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE MEDICAID HMO",
"identifier": "383578337053",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MICHIGAN",
"identifier": "JL010182",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES MEDICAID HMO",
"identifier": "123610",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jletzer10213@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jletzer@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 W University Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"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 Mar 27, 2025; 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.