Active NPI
Anil Regmi
- Internal Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1780369512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11023228A
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231220003398 | IN | Order and Referring Only - Internal Medicine | 0547610214 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- aregmi568094@direct.parkviewexchange.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.