Individual provider Active NPI

Nadine L Floyd, MD

  • Colon & Rectal Surgery Physician
  • Fort Wayne, IN
National Provider Identifier
1821184052
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
01060974A Issued in IN
Practice address
7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone
(260) 436-0259
Fax
(260) 436-0784
NPI assigned
Oct 5, 2006
Last updated
Jan 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 01060974A IN Primary

Addresses

Primary practice location

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Mailing address

2518 E Dupont Rd
Fort Wayne, IN 46825-1675
Phone (260) 432-4400

Other identifiers 1

IdentifierTypeStateIssuer
200837240MedicaidIN

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
I20050817000191 IN Practitioner - Colorectal Surgery (Proctology) 1052341294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
State University of New York at Buffalo School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Surgeons and Physicians, LLC Colon & Rectal Surgery CurrentSince Apr 1, 2016 Accepting new patients
Associated Surgeons and Physicians, LLC CurrentSince Apr 1, 2016 Accepting new patients
Delbello, LLC Past Accepting new patients

Locations

1316 E 7th St
Ste 1
Auburn, IN 46706
Phone (260) 436-0259

2518 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 969-6882

7910 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 436-2424

7910 W Jefferson Blvd
Ste 305
Fort Wayne, IN 46804
Phone (219) 480-5069

7988 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-0259

1275 Provident Dr
Warsaw, IN 46580
Phone (574) 269-4026

Interoperability endpoints

  • Direct secure messaging: nfloyd@asap.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1821184052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251675",
            "telephone_number": "260-432-4400",
            "fax_number": "260-969-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7988 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-436-0259",
            "fax_number": "260-436-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "NADINE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01060974A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200837240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.