Active NPI
Matthew Wayne Robison, DPM
- Podiatrist
- Fort Wayne, IN
National Provider Identifier
1790760882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000946
- Practice address
- 7559 W Jefferson Blvd
Fort Wayne, IN 46804-4131 - Phone
- (260) 436-3579
- Fax
- (260) 459-0287
- NPI assigned
- Dec 12, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000946 | IN | Primary |
Addresses
Primary practice location
7559 W Jefferson Blvd
Fort Wayne, IN 46804-4131
Mailing address
7559 W Jefferson Blvd
Fort Wayne, IN 46804-4131
Phone (260) 436-3579
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7559 W Jefferson Blvd
Fort Wayne, IN 46804-4131
Phone 26043635797
Hospital & facility affiliations
- Parkview Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 59 |
| Removal of skin lesions | 27 |
| Removal of nail tissue | 809 |
| Removal or shaving of skin growth | 356 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC | Past | Accepting new patients |
Interoperability endpoints
- matthew.robison@712.chartlogic.direct-ci.com
- aboitepodiatry.matthewrobison@134126.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Foot Surgery Podiatrist
- Fort Wayne, IN
- NPI 1952523508
-
- Ambulatory Surgical Clinic/Center
- Fort Wayne, IN
- NPI 1992395388
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1790760882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7559 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044131",
"telephone_number": "260-436-3579",
"fax_number": "260-459-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7559 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044131",
"telephone_number": "260-436-3579",
"fax_number": "260-459-0287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "MATTHEW",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000946",
"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 Jun 13, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.