Individual provider Active NPI

Paul F. Conarty, M.D.

  • Colon & Rectal Surgery Physician
  • Fort Wayne, IN
National Provider Identifier
1811989908
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
01052710A Issued in IN
Practice address
11141 Parkview Plaza Dr
Suite 310
Fort Wayne, IN 46845-1701
Phone
(260) 489-8898
Fax
(260) 373-4695
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01052710A IN
Colon & Rectal Surgery Physician 208C00000X 01052710A IN Primary

Addresses

Primary practice location

11141 Parkview Plaza Dr
Suite 310
Fort Wayne, IN 46845-1701

Mailing address

3702 New Vision Dr
BLDG B
Fort Wayne, IN 46845-1703
Phone (260) 266-8210

Other identifiers 7

IdentifierTypeStateIssuer
2206599MedicaidOH
000000614752OtherINANTHEM
200267890MedicaidIN
200267890AMedicaidIN
280000983OtherINRR MEDICARE
000000595624OtherINANTHEM
P00664357OtherINMEDICARE RAILROAD

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address pconarty4263@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000153 IN Practitioner - Colorectal Surgery (Proctology) 9436161486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

2001 Stults Rd
Suite 200
Huntington, IN 46750-1291
Phone (260) 266-7856

Hospital & facility affiliations

  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01052710AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Surgery Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Northeast Indiana Colon Rectal Surgeons PC Colon & Rectal Surgery Past Accepting new patients

Locations

7910 W Jefferson Blvd
Ste 104
Fort Wayne, IN 46804
Phone (219) 432-1780

11141 Parkview Plaza Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-8840

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

8028 Carnegie Blvd
Ste 500
Fort Wayne, IN 46804
Phone (260) 266-5400

11141 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 387-7540

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

2001 Stults Rd
#200
Huntington, IN 46750
Phone (260) 266-7856

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

442 W High St
Ste 3
Bryan, OH 43506
Phone (419) 633-4174

Interoperability endpoints

  • Direct secure messaging: pconarty4263@direct.parkviewexchange.com

Organizations & group practices 3

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 3

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1811989908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 NEW VISION DR",
            "address_2": "BLDG B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451703",
            "telephone_number": "260-266-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11141 PARKVIEW PLAZA DR",
            "address_2": "SUITE 310",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701",
            "telephone_number": "260-489-8898",
            "fax_number": "260-373-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONARTY",
        "first_name": "PAUL",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01052710A",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01052710A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206599",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000614752",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200267890",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200267890A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "280000983",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000595624",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00664357",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pconarty4263@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.