Active NPI
Jeffrey A Yngstrom, M.D.
- Diagnostic Radiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01052614A
- Practice address
- 2200 Randallia Dr
Fort Wayne, IN 46805-4638 - Phone
- (260) 373-4731
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01052614A | IN | Primary |
Addresses
Primary practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Mailing address
3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone (260) 484-0850
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5652 | Other | IN | PHP |
| 4218292100 | Medicaid | MI | |
| 2178709 | Medicaid | OH | |
| 000000092598 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-4080
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-1000
2229 Sycamore Hills Dr
Fort Wayne, IN 46814-9301
Phone (260) 469-6602
3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone (260) 969-1124
Hospital & facility affiliations
- Parkview Regional Medical Center
- Parkview Whitley Hospital
- Parkview Huntington Hospital
- Parkview Wabash Hospital, Inc
- Parkview Dekalb Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.28 of 100
- Quality
- 77.29
- Improvement activities
- 40
- Cost
- 73.88
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.81 of 100
- Quality
- 80.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180164 | NY | MD | Gastroenterology Physician |
| 01052614A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Fort Wayne Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| P.E.T. Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ramapo Radiology Associates, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Parkview Hospital Inc. | Past | Accepting new patients | |
| Summit Radiology P C | Diagnostic Radiology | Past | Accepting new patients |
| Suffern Radiology Associates, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| MRI Center - Fort Wayne Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Ramapo Imaging Associates, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
7230 Engle Rd
Ste 110
Fort Wayne, IN 46804
Phone (219) 484-0850
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
10202 Coldwater Rd
Ste A
Fort Wayne, IN 46825
Phone (260) 469-2525
7230 Engle Rd
Fort Wayne, IN 46804
Phone (219) 422-9466
1818 Carew St
Ste 40
Fort Wayne, IN 46805
Phone (219) 483-1847
2414 E State Blvd
Ste 200
Fort Wayne, IN 46805
Phone (219) 484-0850
3707 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-4000
2414 E State Blvd
#200
Fort Wayne, IN 46805
Phone (219) 422-9466
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
1331 Minnich Rd
New Haven, IN 46774
Phone (260) 425-5000
1104 N Wayne St
North Manchester, IN 46962
Phone (260) 982-2102
1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154
1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080
Interoperability endpoints
- jyngstrom@yourcarecommunity.org
Organizations & group practices 11
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.
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1992768691
-
- General Practice Physician
- Bryan, OH
- NPI 1225167893
-
- Medicare Defined Swing Bed Hospital Unit
- Montpelier, OH
- NPI 1386687218
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1922061613
-
- Home Infusion Agency
- Fort Wayne, IN
- NPI 1780680942
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1073584587
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1174574115
-
- Diagnostic Radiology Physician
- Suffern, NY
- NPI 1932150935
-
- Diagnostic Radiology Physician
- Suffern, NY
- NPI 1093766131
-
- Diagnostic Radiology Physician
- Pomona, NY
- NPI 1750332755
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902844756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451702",
"telephone_number": "260-484-0850",
"fax_number": "260-484-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 RANDALLIA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054638",
"telephone_number": "260-373-4731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YNGSTROM",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01052614A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "5652",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4218292100",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2178709",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000092598",
"state": "IN"
}
],
"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 Jul 13, 2026; 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.