Active NPI
Ashok Kadambi, MD
- Specialist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01044753
- Practice address
- 5010 W Jefferson Blvd
Fort Wayne, IN 46804-6804 - Phone
- (260) 436-1248
- Fax
- (260) 436-7968
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 01044753 | IN | Primary |
Addresses
Primary practice location
5010 W Jefferson Blvd
Fort Wayne, IN 46804-6804
Mailing address
5010 W Jefferson Blvd
Fort Wayne, IN 46804-6804
Phone (260) 436-1248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200088830A | Medicaid | IN |
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
- Endocrinology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5010 W Jefferson Blvd
Fort Wayne, IN 46804-6804
Hospital & facility affiliations
- Parkview Regional Medical Center
- Lutheran Hospital of Indiana
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044753 | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Endocrinology PC | Current | Accepting new patients | |
| American Kidney Clinics LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
4646 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 436-1248
5010 W Jefferson Blvd
#100
Fort Wayne, IN 46804
Phone (260) 436-1248
5010 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-1248
Interoperability endpoints
- akadambi90899@direct.medisys.org
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Wayne, IN
- NPI 1285786111
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1609699628
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- 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": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1902863038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046804",
"telephone_number": "260-436-1248",
"fax_number": "260-436-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046804",
"telephone_number": "260-436-1248",
"fax_number": "260-436-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADAMBI",
"first_name": "ASHOK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01044753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200088830A",
"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 2, 2010; 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.