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MR. THOMAS G EDWARDS PA-C
NPI 1023091253
Physician Assistant - Medical in Fort Wayne, IN

Active since November 22, 2005PECOS Enrolled
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-4000(260) 482-4442 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Thomas G Edwards Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS G EDWARDS PA-C (NPI 1023091253) is an individual medical provider in Fort Wayne, Indiana, licensed in Indiana (10000133) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023091253
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. THOMAS G EDWARDSCredential: PA-C
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address3640 New Vision Drive, Suite AFort Wayne, IN 46845-1717 · (260) 482-4440 · Fax (260) 482-4442
Phone(260) 373-4000
Fax(260) 482-4442
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateNovember 13, 2013
✔ NPI 1023091253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IN · 10000133
2200 RANDALLIA DR, Fort Wayne, IN 46805
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified047840MIN
Medicare UPINR61391IN
Medicare ID-Type Unspecified930050829Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas G Edwards Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLIKA GYAWALI MD
Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
CHRISTINA MCGUIRK
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MS. KARI M RASMUSSEN PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (800) 727-8439
JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 266-4172
DAVID R WANG DO, MPH
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-7765
CHELSIE MCSORLEY NP
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-0670
BRETT L. SKRAMSTAD PA
Physician Assistant
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Edwards's NPI number?

The NPI number for Thomas Edwards is 1023091253. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Thomas Edwards located?

Thomas Edwards practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 373-4000.

What is Thomas Edwards's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Thomas Edwards enrolled in Medicare?

Yes. Thomas Edwards is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Edwards accept?

Health plans from CareSource list Thomas Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Edwards was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.