Joseph M Mlakar, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

01045481A Issued in IN

Practice address

9933 Dupont Circle Dr W Ste 120
Fort Wayne, IN 46825-1629

Phone

(260) 490-4673

Fax

(260) 490-2165

NPI assigned

Aug 9, 2005

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plastic Surgery Innovations, P.C.

  • Plastic Surgery Physician
  • Fort Wayne, IN
  • NPI 1275624686
  Medicare reassignment NPD Authorized official
• Associated Anesthesiologists of Fort Wayne PC

  dba Midwest Anesthesia Associates

  • Anesthesiology Physician
  • Fort Wayne, IN
  • NPI 1538159140
  NPD (past)
• Summit Plastic Surgery, PC

  • Plastic Surgery Physician
  • Fort Wayne, IN
  • NPI 1194701664
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1801897244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 DUPONT CIRCLE DR W STE 120",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251629",
            "telephone_number": "260-490-4673",
            "fax_number": "260-490-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 DUPONT CIRCLE DR W STE 120",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251629",
            "telephone_number": "260-490-4673",
            "fax_number": "260-490-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLAKAR",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01045481A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200090070",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061487",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayleen Mitchell, RBT
• Lillie Mitchell
• Savannah Mitchell
• Taygen Mitchell
• Emily Jeane Mize
• MMS Ft. Wayne, Inc (Majors Medical Supply)
• Mobile Medical Maintenance, LLC (Pediatric Home Service)
• Bernadette Mock, RBT
• Charlotte Mock, MA, LMHC
• Brian Mockenhaupt

• Plastic Surgery Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.

Verify at the official NPI Registry.