Individual provider Active NPI

Jeffrey A Yngstrom, M.D.

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1902844756
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01052614A Issued in IN
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5652OtherINPHP
4218292100MedicaidMI
2178709MedicaidOH
000000092598OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 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
I20070118000367 IN Practitioner - Diagnostic Radiology 2365475894 Reassigns benefits to 2 organizations
I20120104000520 OH Practitioner - Diagnostic Radiology 2365475894 Reassigns benefits to 1 organization

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
Fort Wayne Radiology Associates LLCGroup PAC ID 5294624060, 35 clinicians

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 Hospital, Fort Wayne, IN, CCN 150021
  • Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
  • Parkview Wabash Hospital, Inc Hospital, Wabash, IN, CCN 151310
  • Parkview Dekalb Hospital Hospital, Auburn, IN, CCN 150045

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
77.29
Improvement activities
40
Cost
73.88

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as group
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

LicenseStateTypeSpecialty
180164NYMDGastroenterology Physician
01052614AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitals and Wellness Centers CurrentSince Mar 16, 2021 Accepting new patients
Fort Wayne Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 6, 2000 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Mar 16, 2021 Accepting new patients
P.E.T. Imaging Services, LLC Diagnostic Radiology CurrentSince Apr 19, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.