NPIMap

Individual provider Active NPI

Deanna Michelle Garcia, PA

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1811448558
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002144A Issued in IN
Practice address
7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone
(260) 432-1568
Fax
(260) 432-4969
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002144A IN Primary

Addresses

Primary practice location

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233

Mailing address

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone (260) 432-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026000027 IN Practitioner - Physician Assistant 4880972850 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians

Practice addresses (Care Compare)

5001 US Hwy 30 W D
Fort Wayne, IN 46818-9701
Phone (260) 432-1568

7900 W Jefferson Blvd
104 Interventional Clinic
Fort Wayne, IN 46804-4128
Phone (260) 435-7951

7950 W Jefferson Blvd
Lutheran Hospital of Fort Wayne
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

7952 W Jefferson Blvd
Orthopaedic Hospital of Lutheran Network
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

7956 W Jefferson Blvd
120 Allied Imaging II
Fort Wayne, IN 46804-4140
Phone (260) 436-2416

7970 W Jefferson Blvd
Rehabilitation Hospital of Fort Way
Fort Wayne, IN 46804-4140
Phone (260) 435-6142

7988 W Jefferson Blvd
Summit Radiology/Womens Health Adva
Fort Wayne, IN 46804-4140
Phone (260) 432-1568

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150
  • Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133
  • Marion General Hospital Hospital, Marion, IN, CCN 150011

Merit-based Incentive Payment System (MIPS)

Final score
93.96 of 100Reported as group
Quality
92.18
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002144AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC CurrentSince Mar 1, 2019 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Mar 1, 2019 Accepting new patients
Northeast Internal Medicine Associates, PC Past Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1811448558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DEANNA",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002144A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.