Individual provider Active NPI

Ashok Kadambi, MD

  • Specialist
  • Fort Wayne, IN
National Provider Identifier
1902863038
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01044753 Issued in IN
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

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200088830AMedicaidIN

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
I20111216000118 IN Practitioner - Endocrinology 8224003710 Reassigns benefits to 1 organization

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
Fort Wayne Endocrinology PCGroup PAC ID 9234104720, 3 clinicians

Practice addresses (Care Compare)

5010 W Jefferson Blvd
Fort Wayne, IN 46804-6804

Hospital & facility affiliations

  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044753INMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Endocrinology PC CurrentSince Jan 1, 1999 Accepting new patients
American Kidney Clinics LLC PastSince Nov 10, 2024 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

  • Direct secure messaging: akadambi90899@direct.medisys.org
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.