Individual provider Active NPI

Sumona Kabir, D.O.

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1881001444
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02086824A Issued in IN
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

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211124002341 IN Practitioner - Internal MedicinePractitioner - Allergy/Immunology 9335465939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Center, PCGroup PAC ID 4587567391, 6 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
73.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14773FLMDInternal Medicine Physician
02086824AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center, PC Allergy & Immunology CurrentSince Nov 22, 2021 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.