Individual provider Active NPI

John Novak Pasalich, MD

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1831160001
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01024054A Issued in IN
Practice address
7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone
(260) 469-8223
Fax
(260) 469-8201
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01024054A 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) 469-8223

Other identifiers 3

IdentifierTypeStateIssuer
1831160001MedicaidMI
100318870MedicaidIN
0787386MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050126000690 IN Practitioner - Diagnostic Radiology 4688624752 Reassigns benefits to 6 organizations
I20090319000109 MI Practitioner - Diagnostic Radiology 4688624752 Reassigns benefits to 2 organizations
I20131017000627 OH Practitioner - Diagnostic Radiology 4688624752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians
Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

15010 Chopine Pass
Roanoke, IN 46783-9339
Phone (269) 781-4271

2209 Turnberry LN
Fort Wayne, IN 46814-9354
Phone (269) 781-4271

2451 Intelliplex Dr
Shelbyville, IN 46176-8580

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

7910 W Jefferson Blvd
Suite 108
Fort Wayne, IN 46804-4159
Phone (260) 436-0800

916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 659-4482

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Greene County General Hospital Hospital, Linton, IN, CCN 151317
  • Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133
  • Marion General Hospital Hospital, Marion, IN, CCN 150011
  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01024054AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Radiology P C Diagnostic Radiology CurrentSince Jul 1, 1966 Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Greene County General Hospital Current Accepting new patients
Major Hospital Current Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Direct Imaging LLC CurrentSince Jun 16, 2017 Accepting new patients
Henry County Memorial Hospital CurrentSince Mar 18, 2017 Accepting new patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Henry County Memorial Hospital CurrentSince Mar 18, 2017 Accepting new patients
American Oncology Partners PA Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Feb 23, 2025 Accepting new patients
Imaging Diagnostic Center Limited Diagnostic Radiology Past Accepting new patients
St. Joseph Health System, LLC Past Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

5001 US Highway 30 W
Ste D
Fort Wayne, IN 46818
Phone (260) 469-8273

7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830

5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471

7900 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 426-6667

7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

208 Columbus St
Hicksville, OH 43526
Phone (419) 542-6692

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1831160001",
    "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": "260-469-8223",
            "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": "260-469-8223",
            "fax_number": "260-469-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASALICH",
        "first_name": "JOHN",
        "middle_name": "NOVAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01024054A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831160001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100318870",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0787386",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.