Active NPI
William Allen Kammeyer, M.D.
- Family Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1780799544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01024405A
- Practice address
- 1515 Hobson Rd.
Fort Wayne, IN 46805-4802 - Phone
- (260) 469-6601
- Fax
- (260) 969-3067
- NPI assigned
- Aug 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01024405A | IN | Primary |
Addresses
Primary practice location
1515 Hobson Rd.
Fort Wayne, IN 46805-4802
Mailing address
1234 E Dupont Rd
Suite 3
Fort Wayne, IN 46825-1545
Phone (260) 373-9965
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00698404 | Other | IN | RAILROAD MEDICARE |
| 100050530A | Medicaid | IN | |
| 000000595577 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01024405A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1780799544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 E DUPONT RD",
"address_2": "SUITE 3",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251545",
"telephone_number": "260-373-9965",
"fax_number": "260-458-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOBSON RD.",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054802",
"telephone_number": "260-469-6601",
"fax_number": "260-969-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMMEYER",
"first_name": "WILLIAM",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01024405A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00698404",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100050530A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000595577",
"state": "IN"
}
],
"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 Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.