Active NPI
Sumona Kabir, D.O.
- Internal Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 02086824A
- Practice address
- 7222 Engle Rd.
Fort Wayne, IN 46804-2222 - Phone
- (260) 432-5005
- Fax
- (260) 432-6003
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 71419-21 | WI | |
| Allergy & Immunology Physician | 207K00000X | 02086824A | IN | |
| Internal Medicine Physician | 207R00000X | OS14773 | FL | |
| Internal Medicine Physician | 207R00000X | 02086824A | IN | Primary |
Addresses
Primary practice location
7222 Engle Rd.
Fort Wayne, IN 46804-2222
Mailing address
7222 Engle Rd.
Fort Wayne, IN 46804-2222
Phone (260) 432-5005
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10415 Leo Rd
Fort Wayne, IN 46825-2603
Phone (260) 432-5005
2280 Provident CT
Suite a
Warsaw, IN 46580-3284
Phone (260) 432-5005
7222 Eagle Rd
Fort Wayne, IN 46804-2222
Phone (260) 432-5005
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.95 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 73.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS14773 | FL | MD | Internal Medicine Physician |
| 02086824A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Center, PC | Allergy & Immunology | Current | Accepting new patients |
Locations
10415 Leo Rd
Fort Wayne, IN 46825
Phone (260) 432-5005
7222 Engle Rd
Fort Wayne, IN 46804
Phone (260) 432-5005
2280 Provident Ct
Ste A
Warsaw, IN 46580
Phone (260) 432-5005
Organizations & group practices 1
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.
-
dba The Allergy and Asthma Center, PC
- Allergy & Immunology Physician
- Fort Wayne, IN
- NPI 1386606911
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1881001444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7222 ENGLE RD.",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042222",
"telephone_number": "260-432-5005",
"fax_number": "260-432-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7222 ENGLE RD.",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042222",
"telephone_number": "260-432-5005",
"fax_number": "260-432-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABIR",
"first_name": "SUMONA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "WI",
"license": "71419-21",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IN",
"license": "02086824A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS14773",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02086824A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 20, 2023; 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.