Apical Healthcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01064700A Issued in IN

Legal business name

APICAL HEALTHCARE LLC

Practice address

327 E Wayne St
Ste 150
Fort Wayne, IN 46802-2753

Phone

(347) 468-2394

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

David U Ilo, M.D.NPI 1104094689

Title

Sole Member

Phone

(347) 468-2394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David U Ilo, MD

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1104094689

  IN, Internal Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1881960433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 E WAYNE ST",
            "address_2": "STE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022753",
            "telephone_number": "347-468-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E WAYNE ST",
            "address_2": "STE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022753",
            "telephone_number": "347-468-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APICAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "ILO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "347-468-2394",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01064700A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.