Active NPI
William Ross Peery II, MD
- Surgical Critical Care Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 01080921A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | william.peery@lutheranhealthnetwork.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, SC, IN, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Lutheran Hospital of Indiana
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C204473 | CA | MD | Surgical Critical Care Physician |
| 01080921A | IN | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| McLeod Physician Associates II | Surgery | Current | 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
- wpeery89909@directmcleodehealth.org
- bpeery391253@directwellstar.org
- 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.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
-
- Trauma Surgery Physician
- Apple Valley, CA
- NPI 1780433698
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Surgery Physician
- Myrtle Beach, SC
- NPI 1841465804
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- Clinic/Center
- Pikeville, KY
- NPI 1710207865
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.