NPIMap

Individual provider Active NPI

Vahid-David Sedaghat, M.D.

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1972584043
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01056095A Issued in IN
Practice address
3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Phone
(260) 483-9081
Fax
(260) 483-9196
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01056095A IN
Internal Medicine Physician 207R00000X 01056095A IN Primary
Pediatric Adolescent Medicine Physician 2080A0000X 01056095A IN

Addresses

Primary practice location

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631

Mailing address

330 N Wabash Ave Ste G-20
Marion, IN 46952-2605
Phone (765) 660-7600

Other practice location 1

157 W 8th Street
Fairmount, IN 46928-1012
Phone (765) 662-7880

Other identifiers 2

IdentifierTypeStateIssuer
200398430MedicaidIN
000000659555OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vahid-david.sedaghat@mgh.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000991 IN Practitioner - Internal MedicinePractitioner - Hospitalist 5496714941 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Ecs, Inc 243 clinicians
Marion General Hospital 115 clinicians
Exceptional Care Services LLC 36 clinicians

Practice addresses (Care Compare)

150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247

157 W 8TH St
Fairmount, IN 46928-1012
Phone (317) 660-7880

705 N Meridian St
Greentown, IN 46936-1246
Phone (859) 255-0075

Hospital & facility affiliations

  • Heart to Heart Hospice of Central Indiana LLC Hospice, Marion, IN, CCN 151587
  • Guardian Angel Hospice Inc Hospice, Kokomo, IN, CCN 151577
  • Anew Hospice Hospice, Indianapolis, IN, CCN 151619
  • Heart to Heart Hospice of Northeast Indiana, LLC Hospice, Fort Wayne, IN, CCN 151635
  • Marion General Hospital Hospital, Marion, IN, CCN 150011
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Marion Aru Inpatient rehabilitation facility, Marion, IN, CCN 15T011
  • Bethel Pointe Health and Rehab Nursing home, Muncie, IN, CCN 155546
  • Century Villa Health Care Nursing home, Greentown, IN, CCN 155510
  • Albany Health Care & Rehabilitation Center Nursing home, Albany, IN, CCN 155432
  • North Woods Village Nursing home, Kokomo, IN, CCN 155139
  • Waters of Wabash Skilled Nursing Facility East the Nursing home, Wabash, IN, CCN 155006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs - Kentucky, PLLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Extended Care Specialists, Inc Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Eventus WH Midwest Care, LLC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc Internal Medicine CurrentSince Sep 9, 2020 Accepting new patients
Eventus Ecs, Inc Internal Medicine CurrentSince Dec 19, 2024 Accepting new patients
Extended Care Specialists, Inc Internal Medicine CurrentSince Oct 6, 2024 Accepting new patients
Marion General Hospital Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Marion General Hospital CurrentSince Jul 1, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
St. Joseph Primary Care, LLC Internal Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Pediatric Subspecialties Adolescent Medicine Past Accepting new patients

Locations

2100 Midway St
Columbus, IN 47201
Phone 3178181240225

157 W Eighth St
Fairmount, IN 46928
Phone (317) 660-7880

3512 Stellhorn Rd
Fort Wayne, IN 46815

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000

150 W Market St
Ste 400
Indianapolis, IN 46204

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

330 N Wabash Ave
Ste 210
Marion, IN 46952
Phone (765) 651-4278

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

8398 Mississippi St
Fl 2
Merrillville, IN 46410

Interoperability endpoints

  • Direct secure messaging: vahid-david.sedaghat@mgh.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Woods VillageKokomo, IN, CCN 155139 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Feb 9, 2026
Bethel Pointe Health and RehabMuncie, IN, CCN 155546 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2012
Apr 1, 2012
Albany Health Care & Rehabilitation CenterAlbany, IN, CCN 155432 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2012
Apr 1, 2012
Century Villa Health CareGreentown, IN, CCN 155510 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2022
Jan 1, 2022
Heart to Heart Hospice of Central Indiana, LLCMarion, IN, CCN 151587 Hospice Contracted Managing Employee Mar 17, 2015

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1972584043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE STE G-20",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522605",
            "telephone_number": "765-660-7600",
            "fax_number": "765-651-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 STELLHORN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154631",
            "telephone_number": "260-483-9081",
            "fax_number": "260-483-9196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 W 8th Street",
            "address_purpose": "LOCATION",
            "city": "Fairmount",
            "state": "IN",
            "postal_code": "469281012",
            "country_code": "US",
            "telephone_number": "765-662-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDAGHAT",
        "first_name": "VAHID-DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01056095A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01056095A",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IN",
            "license": "01056095A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200398430",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000659555",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vahid-david.sedaghat@mgh.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "157 W 8th Street",
            "city": "Fairmount",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469281012",
            "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.