Individual provider Active NPI

Anil Regmi

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1780369512
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11023228A Issued in IN
Practice address
2307 Florida Dr Apt C9
Fort Wayne, IN 46805-3560
Phone
(574) 261-2403
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 11023228A IN Primary

Addresses

Primary practice location

2307 Florida Dr Apt C9
Fort Wayne, IN 46805-3560

Mailing address

2307 Florida Dr Apt C9
Fort Wayne, IN 46805-3560
Phone (574) 261-2403

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
I20231220003398 IN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0547610214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: aregmi568094@direct.parkviewexchange.com
  • Direct secure messaging: aregmi2644091@fairview.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1780369512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 FLORIDA DR APT C9",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053560",
            "telephone_number": "574-261-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 FLORIDA DR APT C9",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053560",
            "telephone_number": "574-261-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGMI",
        "first_name": "ANIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "11023228A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.