Individual provider Active NPI

Loi K Phuong, MD

  • Neurological Surgery Physician
  • Fort Wayne, IN
National Provider Identifier
1841297041
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01057259A Issued in IN
Practice address
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone
(260) 436-2416
Fax
(260) 436-6936
NPI assigned
Jul 1, 2005
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01057259A IN Primary

Addresses

Primary practice location

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lphuong@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040109001106 OH Practitioner - Neurosurgery 1355241910 Reassigns benefits to 1 organization
I20101005000236 IN Practitioner - Neurosurgery 1355241910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of California, Irvine, California College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Physicians IncGroup PAC ID 5193625846, 4 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

140 Fox Rd
Suite 209
Van Wert, OH 45891-2492
Phone (800) 686-3963

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.34 of 100Reported as group
Quality
41.58
Promoting interoperability
0
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion357
Laminectomy or laminotomy (partial removal of spine bones)126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057259AINMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Fort Wayne Physicians, LLC CurrentSince Sep 10, 2023 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Allied Physicians Inc Neurological Surgery CurrentSince Aug 1, 2003 Accepting new patients
Allied Physicians Inc CurrentSince Nov 1, 2003 Accepting new patients
Allied Physicians Inc., D/B/a Indiana Ohio Heart PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Indiana Ohio Heart PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurology PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Fort Wayne Physical Medicine P C PastSince Jan 1, 1990 Accepting new patients
Allied Physicians, Inc. PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurology PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Indiana Ohio Heart PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Tri-State Physical Medicine PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Allied Physicians, Inc. PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurololgy PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurology PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Ear, Nose & Throat Specialist PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Tri-State Physical Medicine PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Tri-State Physical Medicine PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurology PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Ear, Nose & Throat Specialists PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurology PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Tri-State Physical Medicine PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Tri-State Physical Medicine PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Ear, Nose & Throat Specialists PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurololgy PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Ear, Nose & Throat Specialists PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Ear, Nose & Throat Specialists PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Fort Wayne Neurology PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc Neurological Surgery PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Tri-State Physical Medicine PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Indiana Ohio Heart PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Indiana Ohio Heart PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Indiana Ohio Heart PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Indiana Ohio Heart PastSince Jan 1, 1990 Accepting new patients
Allied Physicians Inc., D/B/a Ear, Nose & Throat Specialists PastSince Jan 1, 1990 Accepting new patients

Locations

256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806

2622 Lake Ave
Fort Wayne, IN 46805
Phone (260) 425-3100

7956 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

140 Fox Rd
Ste 209
Van Wert, OH 45891
Phone (419) 222-6595

Interoperability endpoints

  • Direct secure messaging: lphuong@direct.iuhealth.org

Organizations & group practices 46

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.

View all 46

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1841297041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7956 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-436-2416",
            "fax_number": "260-436-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUONG",
        "first_name": "LOI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01057259A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lphuong@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7956 W Jefferson Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468044140",
            "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.