Individual provider Active NPI

Tyler Allen Neuman, PA-C

  • Emergency Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1962274100
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10004314A Issued in IN
Practice address
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone
(877) 774-8632
NPI assigned
Oct 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004314A IN
Emergency Medicine Physician 207P00000X 10004314A IN Primary

Addresses

Primary practice location

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Mailing address

608 Union Chapel Rd
Fort Wayne, IN 46845-9357

Other practice location 1

1260 In-205
Columbia City, IN 46725
Phone (260) 248-9000

Other practice location 2

433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1131

Other practice location 3

10 John Kissinger Dr
Wabash, IN 46992-1648
Phone (260) 563-3131

Other practice location 4

2001 Stults Rd
Huntington, IN 46750-1291
Phone (260) 355-3000

Other practice location 5

1355 Mariners Dr
Warsaw, IN 46582-7145
Phone (574) 372-0000

Other practice location 6

8202 Glencarin Blvd
Fort Wayne, IN 46804-5783
Phone (260) 425-4100

Other practice location 7

1316 E 7th St
Auburn, IN 46706-2538
Phone (260) 925-4600

Other practice location 8

401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone (260) 347-8700

Other practice location 9

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 266-1000

Other practice location 10

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tneuman655213@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240422001133 IN Practitioner - Physician Assistant 4183063399 Reassigns benefits to 2 organizations
I20250123002740 OH Practitioner - Physician Assistant 4183063399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc CurrentSince May 15, 2024 Accepting new patients
Interventional Pain Consultants, LLC PastSince Feb 20, 2009 Accepting new patients

Locations

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

8202 Glencarin Blvd
Fort Wayne, IN 46804
Phone (260) 425-4100

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

Interoperability endpoints

  • Direct secure messaging: tneuman655213@direct.parkviewexchange.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1962274100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 UNION CHAPEL RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701",
            "telephone_number": "877-774-8632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 IN-205",
            "address_purpose": "LOCATION",
            "city": "Columbia City",
            "state": "IN",
            "postal_code": "46725",
            "country_code": "US",
            "telephone_number": "260-248-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 W High St",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435061690",
            "country_code": "US",
            "telephone_number": "419-636-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 John Kissinger Dr",
            "address_purpose": "LOCATION",
            "city": "Wabash",
            "state": "IN",
            "postal_code": "469921648",
            "country_code": "US",
            "telephone_number": "260-563-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Stults Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "IN",
            "postal_code": "467501291",
            "country_code": "US",
            "telephone_number": "260-355-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 Mariners Dr",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465827145",
            "country_code": "US",
            "telephone_number": "574-372-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8202 Glencarin Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468045783",
            "country_code": "US",
            "telephone_number": "260-425-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "IN",
            "postal_code": "467062538",
            "country_code": "US",
            "telephone_number": "260-925-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Sawyer Rd",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467552568",
            "country_code": "US",
            "telephone_number": "260-347-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Randallia Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054638",
            "country_code": "US",
            "telephone_number": "260-266-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 E Maumee St",
            "address_purpose": "LOCATION",
            "city": "Angola",
            "state": "IN",
            "postal_code": "467032015",
            "country_code": "US",
            "telephone_number": "260-665-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUMAN",
        "first_name": "TYLER",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004314A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "10004314A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tneuman655213@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "8202 Glencarin Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468045783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8202 Glencarin Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468045783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "8202 Glencarin Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468045783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.