Nicholas L Fox, DO
Individual provider Active NPI Family Medicine Physician · Kendallville, IN
NPI 1780178004 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1780178004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02005734A (IN)
- Practice address
- 326 N Sawyer Rd
Kendallville, IN 46755-2573 - Phone
- (260) 349-9166
- Fax
- (260) 349-9175
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Health System Inc
Practice addresses (Care Compare)
326 N Sawyer Rd
PPG Family Medicine
Kendallville, IN 46755-2573
Phone (260) 349-9166
Hospital & facility affiliations
- Adoration Home Health
- Parkview Health at Home LLC
- Parkview Noble Hospital
- Parkview Lagrange Hospital
- Parkview Regional Medical Center
- Parkview Dekalb Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210719003410 | IN | Practitioner - Family Practice | 2769738525 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02005734A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Family Medicine | Current |
Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
326 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-0434
Interoperability endpoints
- nfox130360@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11020170A | IN | |
| Family Medicine Physician | 207Q00000X | 02005734A | IN | Yes |
Addresses
Primary practice location
326 N Sawyer Rd
Kendallville, IN 46755-2573
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nfox130360@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/ |
Other providers in Kendallville, IN
- Deserae Elliott
- William Fenstermaker
- Rex A. Flenar
- Miroslaw A Foltyniak
- Melissa Foulk
- Shelby Frank
- Christopher P. Frazier
- Jessica Gardner
- Genoa Healthcare LLC
- Kalee Givens
All providers in Kendallville, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.