NPIMap

Organization Active NPI

Delbello, LLC

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1902946494
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01037213 Issued in IN
Legal business name
DELBELLO, LLC
Practice address
3124 E State Blvd
Suite 3F
Fort Wayne, IN 46805-4763
Phone
(260) 482-1681
Fax
(260) 482-1857
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Dr. Mark W Delbello, MD
Title
President
Phone
(260) 482-1681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 01037213 IN Primary

Addresses

Primary practice location

3124 E State Blvd
Suite 3F
Fort Wayne, IN 46805-4763

Mailing address

PO Box 715375
Columbus, OH 43271-5375
Phone (260) 969-1950

Other identifiers 6

IdentifierTypeStateIssuer
110175714OtherINRAILROAD MEDICARE
4134142OtherAETNA
1220OtherPHYSICIANS HEALTH PLAN
000000527354OtherINANTHEM
0462448OtherCIGNA
100323980MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1902946494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715375",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432715375",
            "telephone_number": "260-969-1950",
            "fax_number": "260-918-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E STATE BLVD",
            "address_2": "SUITE 3F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054763",
            "telephone_number": "260-482-1681",
            "fax_number": "260-482-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELBELLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "DELBELLO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-482-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01037213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110175714",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4134142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "1220",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000527354",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0462448",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100323980",
            "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 Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.