Active NPI
Edward Westfall, MD
- Otolaryngology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01086140A
- Practice address
- 10021 Dupont Circle CT
Fort Wayne, IN 46825-1604 - Phone
- (260) 426-8117
- NPI assigned
- Mar 28, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngology Physician | 207Y00000X | 01086140A | IN | Primary |
| Otolaryngology Physician | 207Y00000X | 125.069145 | IL |
Addresses
Primary practice location
10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
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
- Otolaryngology
- Education
- Indiana University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 87.19
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01086140A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear, Nose & Throat Associates, PC | Otolaryngology | Current | Accepting new patients |
| The Hearing Center LLC | Past | Accepting new patients |
Locations
1169 N Main St
Ste 5
Bluffton, IN 46714
Phone (260) 827-4368
7926 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 459-6924
10021 DuPont Circle Ct
Fort Wayne, IN 46825
Phone (219) 426-8117
2814 Theater Ave
Huntington, IN 46750
Phone (260) 356-3611
2003 Stults Rd
Ste 220
Huntington, IN 46750
Phone (260) 463-2133
737 N Detroit St
Warsaw, IN 46580
Phone (260) 436-0259
Interoperability endpoints
- ewestfall@entfortwayne.emadirect.md
- ewestfall@entfortwayne.gwaydirect.com
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Fort Wayne, IN
- NPI 1851377691
-
- Audiologist
- Fort Wayne, IN
- NPI 1891771655
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Decatur, IN
- NPI 1689696148
-
- 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": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1942662986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10021 DUPONT CIRCLE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251604",
"telephone_number": "260-426-8117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTFALL",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01086140A",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "125.069145",
"primary": false
}
],
"identifiers": [],
"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 9, 2021; 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.