Active NPI
Thaddeus R Weghorst, MD
- Obstetrics Physician
- Auburn, IN
National Provider Identifier
1912083155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 01057752A
- Practice address
- 510 Smaltz Way
Auburn, IN 46706-0612 - Phone
- (260) 927-0035
- Fax
- (260) 927-0036
- NPI assigned
- Oct 31, 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 01057752A | IN | Primary |
Addresses
Primary practice location
510 Smaltz Way
Auburn, IN 46706-0612
Mailing address
6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Phone (260) 927-0035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200427390 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thaddeus.weghorst@lutheranhealthnetwork.cernerdirect.com |
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
- Obstetrics/Gynecology
- Education
- University of Cincinnati College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 421-1987
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057752A | IN | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of Indiana, P.C. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Knox Gynecological Specialists | Obstetrics | Past | Accepting new patients |
Locations
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
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.
-
- Obstetrics & Gynecology Physician
- Shelbyville, IN
- NPI 1588387450
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Obstetrics Physician
- Mount Vernon, OH
- NPI 1215029301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1912083155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 POINTE INVERNESS WAY STE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047934",
"telephone_number": "260-927-0035",
"fax_number": "260-927-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SMALTZ WAY",
"city": "AUBURN",
"state": "IN",
"postal_code": "467060612",
"telephone_number": "260-927-0035",
"fax_number": "260-927-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGHORST",
"first_name": "THADDEUS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IN",
"license": "01057752A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200427390",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thaddeus.weghorst@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "DM",
"address_1": "510 Smaltz Way",
"city": "Auburn",
"state": "IN",
"country_code": "US",
"postal_code": "467060612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Auburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.