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ACQUARO MEDICAL PRACTICE, PC
NPI 1063276590
Family Medicine in Fort Wayne, IN

Active since February 06, 2024
7806 W JEFFERSON BLVD STE E, FORT WAYNE, IN 46804(260) 459-0087(260) 969-8514 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Acquaro Medical Practice, Pc NPPES

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

ACQUARO MEDICAL PRACTICE, PC (NPI 1063276590) is a healthcare organization registered as a family medicine in Fort Wayne, Indiana and active in the NPI registry since February 2024. The organization lists Dominick Joseph Acquaro, Lead Co-owner, as its authorized official.

NPPES Registry Identity

NPI1063276590
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACQUARO MEDICAL PRACTICE, PC
Location Address7806 W JEFFERSON BLVD STE EFort Wayne, IN 46804-4180
Mailing Address7806 W Jefferson Blvd Ste EFort Wayne, IN 46804-4180 · (260) 459-0087 · Fax (260) 969-8514
Phone(260) 459-0087
Fax(260) 969-8514
Organization SubpartNo
Authorized OfficialDominick Joseph AcquaroLead Co-owner · (260) 459-0087
Enumeration DateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1063276590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7806 W JEFFERSON BLVD STE E, Fort Wayne, IN 46804
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Other Names 1

Other NameDominick Joseph Acquaro

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Acquaro Medical Practice, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Acquaro Medical Practice, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dominick Acquaro, DO
Family Practice
NPI 1366930737
7806 W JEFFERSON BLVD STE E
Fort Wayne, IN 46804
(260) 459-0087
✔ PECOS✔ Accepts MedicareSame address
Gabrielle Acquaro, M.D.
Family Practice
NPI 1649625104
2516 E DUPONT RD
Fort Wayne, IN 46825
(260) 458-3740
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Acquaro Medical Practice, PC's NPI number?

The NPI number for Acquaro Medical Practice, PC is 1063276590. It was assigned to this organization in the NPPES registry on February 6, 2024. The provider is also known as Dominick Joseph Acquaro.

Where is Acquaro Medical Practice, PC located?

Acquaro Medical Practice, PC is located at 7806 W Jefferson Blvd Ste E, Fort Wayne, IN 46804. The listed phone number is (260) 459-0087.

What is Acquaro Medical Practice, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Acquaro Medical Practice, PC enrolled in Medicare?

Yes. Acquaro Medical Practice, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acquaro Medical Practice, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Acquaro Medical Practice, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Acquaro Medical Practice, PC was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.