Individual provider Active NPI

Jeffrey P Letzer, DO

  • Hematology & Oncology Physician
  • Fort Wayne, IN
National Provider Identifier
1760481766
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
02005703A Issued in IN
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

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01008954OtherMIHEALTHPLUS OF MICHIGAN
0N89040OtherMIMEDICARE PLUS BLUE MICHIGAN
14662OtherMIHEALTH PLAN OF MICHIGAN HMO
4290016MedicaidMI
F59303OtherMITRICARE
830007320OtherMIRAIL ROAD MEDICARE
3600159OtherMIPHP MID MICHIGAN
383578337053OtherMICARE SOURCE MEDICAID HMO
JL010182OtherMIBLUE CROSS BLUE SHIELD MICHIGAN
123610OtherMIGREAT LAKES MEDICAID HMO

Electronic endpoints 4

TypeEndpointUseAffiliation
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, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040602000953 MI Practitioner - Hematology/Oncology 3476534884 Reassigns benefits to 2 organizations
I20190913001046 IN Practitioner - HematologyPractitioner - Medical OncologyPractitioner - Hematology/OncologyPractitioner - Internal Medicine 3476534884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Internal Medicine, Medical Oncology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

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

LicenseStateTypeSpecialty
5101010182MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County Current Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Hematology & Oncology CurrentSince May 5, 2025 Accepting new patients
Community Health Center of Branch County CurrentSince Dec 18, 2023 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Bronson Battle Creek Hospital CurrentSince May 1, 2015 Accepting new patients
Bronson Battle Creek Hospital Hematology & Oncology CurrentSince May 1, 2015 Accepting new patients
Kidney Health Clinic,PC Past Accepting new patients
Jeffrey P. Letzer, DO, PLC. Dba Kalamazoo Hematology & Oncology Hematology & Oncology PastSince Jan 19, 2001 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.