Individual provider Active NPI

William Ross Peery II, MD

  • Surgical Critical Care Physician
  • Fort Wayne, IN
National Provider Identifier
1821294588
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
01080921A Issued in IN
Practice address
7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804-4128
Phone
(260) 458-3610
Fax
(260) 458-3611
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X C204473 CA
Surgical Critical Care Physician 2086S0102X 01080921A IN Primary

Addresses

Primary practice location

7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804-4128

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Phone (260) 479-3514

Other practice location 1

18523 Corwin Rd Ste A
Apple Valley, CA 92307-2300
Phone (909) 712-2764

Other practice location 2

450 E Yosemite Ave Ste D
Merced, CA 95340-8429
Phone (350) 225-3602

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.peery@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC, IN, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130717000431 KY Practitioner - General SurgeryPractitioner - Other (Physician) 7719150481 Reassigns benefits to 1 organization
I20220222002109 SC Practitioner - General Surgery 7719150481 Reassigns benefits to 2 organizations
I20221222001553 IN Practitioner - General Surgery 7719150481 Reassigns benefits to 1 organization
I20260430004205 CA Practitioner - Orthopedic Surgery 7719150481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul J Wisniewski DO IncGroup PAC ID 5092240606, 19 clinicians
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

18523 Corwin Rd
Suite a
Apple Valley, CA 92307-2300
Phone (407) 335-6950

7900 W Jefferson Blvd
Suite 306
Fort Wayne, IN 46804-4128
Phone (260) 458-3610

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Merced, CA, CCN 050444
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C204473CAMDSurgical Critical Care Physician
01080921AINMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc CurrentSince Jun 20, 2013 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 19, 2024 Accepting new patients
Lutheran Medical Group LLC CurrentSince Feb 1, 2023 Accepting new patients
Lutheran Medical Group LLC CurrentSince Feb 1, 2023 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Jun 20, 2013 Accepting new patients
McLeod Physician Associates II Surgery CurrentSince Feb 19, 2024 Accepting new patients
Pikeville Medical Center Inc. Current Accepting new patients
Paul J Wisniewski DO Inc Surgery Past Accepting new patients

Locations

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

7900 W Jefferson Blvd
Ste 306
Fort Wayne, IN 46804
Phone (260) 458-3610

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

7910 W Jefferson Blvd
Ste 112
Fort Wayne, IN 46804
Phone (260) 969-7121

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

800 E Cheves St
Ste 260
Florence, SC 29506
Phone (803) 665-7941

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

506 E Cheves St
#202
Florence, SC 29506

Interoperability endpoints

  • Direct secure messaging: wpeery89909@directmcleodehealth.org
  • Direct secure messaging: bpeery391253@directwellstar.org
  • Direct secure messaging: william.peery@lutheranhealthnetwork.cernerdirect.com

Organizations & group practices 9

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 2

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1821294588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 POINTE INVERNESS WAY STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047934",
            "telephone_number": "260-479-3514",
            "fax_number": "260-479-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 W JEFFERSON BLVD STE 306",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044128",
            "telephone_number": "260-458-3610",
            "fax_number": "260-458-3611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18523 Corwin Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923072300",
            "country_code": "US",
            "telephone_number": "909-712-2764",
            "fax_number": "909-752-8719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 E Yosemite Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953408429",
            "country_code": "US",
            "telephone_number": "350-225-3602",
            "fax_number": "909-752-8719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEERY",
        "first_name": "WILLIAM",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "C204473",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IN",
            "license": "01080921A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.peery@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "7900 W Jefferson Blvd Ste 306",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468044128",
            "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.