Individual provider Active NPI

Ashish Kumar Khemka, M.D

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1992716179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01041022 Issued in IN
Practice address
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone
(260) 426-5431
Fax
(260) 460-1425
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01041022 IN Primary

Addresses

Primary practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Mailing address

2103 Braemar Dr
Fort Wayne, IN 46814-9370
Phone (260) 625-5618

Other identifiers 1

IdentifierTypeStateIssuer
100094690-AMedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000684 IN Practitioner - Internal MedicinePractitioner - Emergency Medicine 2668376401 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041022INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Internal Medicine Current Accepting new patients
Parkview Health System, Inc. Internal Medicine CurrentSince Jun 6, 2015 Accepting new patients
Allen County Internal Medicine PC Internal Medicine CurrentSince Sep 15, 2015 Accepting new patients
Midwest Medical Management, P.C. Internal Medicine Past Accepting new patients
St. Joseph Health System, LLC Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Past Accepting new patients
Bluffton Health System LLC Internal Medicine Past Accepting new patients
Redimed Dekalb LLC Past Accepting new patients

Locations

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

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

6920 Pointe Inverness Way
Fort Wayne, IN 46804
Phone (260) 436-4060

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

710 N East St
Wabash, IN 46992
Phone (219) 563-3131

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Wellbrooke of WabashWabash, IN, CCN 155806 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 15, 2025
Jul 15, 2025

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 8

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992716179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 BRAEMAR DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149370",
            "telephone_number": "260-625-5618",
            "fax_number": "260-460-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055100",
            "telephone_number": "260-426-5431",
            "fax_number": "260-460-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEMKA",
        "first_name": "ASHISH",
        "middle_name": "KUMAR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01041022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094690-A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.