NPIMap

Individual provider Active NPI

James Michael Conner, MD

  • Colon & Rectal Surgery Physician
  • Fort Wayne, IN
National Provider Identifier
1972766970
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
01092516A Issued in IN
Practice address
7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone
(260) 436-0259
NPI assigned
Jul 9, 2008
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 01092516A IN Primary

Addresses

Primary practice location

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Mailing address

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 436-0259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140915001757 CA Practitioner - Colorectal Surgery (Proctology) 3577782028 Reassigns benefits to 1 organization
I20240228002332 IN Practitioner - Colorectal Surgery (Proctology) 3577782028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.87 of 100Reported as group
Quality
71.97
Promoting interoperability
100
Improvement activities
0
Cost
84.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01092516AINMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Surgeons and Physicians, LLC Single Specialty CurrentSince Feb 22, 2024 Accepting new patients
Sacramento Colon & Rectal Surgery Medical Group, Inc. Single Specialty CurrentSince Aug 15, 2014 Accepting new patients
Associated Surgeons and Physicians, LLC Single Specialty CurrentSince Feb 22, 2024 Accepting new patients
Delbello, LLC Single Specialty Past Accepting new patients

Locations

1020 29th St
Ste 350
Sacramento, CA 95816
Phone (916) 231-1050

2518 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 969-6882

7988 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-0259

1275 Provident Dr
Warsaw, IN 46580
Phone (574) 269-4026

Interoperability endpoints

  • Direct secure messaging: jconner@asap.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1972766970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7988 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-436-0259",
            "fax_number": "260-436-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7988 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-436-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01092516A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.