DOROTHEA ADDO MD
NPI 1063478360
Internal Medicine in Fort Wayne, IN
About Dorothea Addo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOROTHEA ADDO MD (NPI 1063478360) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01045551A) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dorothea Addo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Dorothea Addo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46805
- Reassigned Medicare billing, Indiana enrollment
- 35 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 301 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lutheran Hospital Of Indiana
Acute Care Hospitals · Fort Wayne, INParkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INSt Joseph Health System, LLC
Acute Care Hospitals · Fort Wayne, INDupont Hospital LLC
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46805
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 Dorothea Addo's NPI number?
The NPI number for Dorothea Addo is 1063478360. It was assigned to this individual provider in the NPPES registry on April 25, 2006.
Where is Dorothea Addo located?
Dorothea Addo practices at 2622 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 425-3100.
What is Dorothea Addo's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dorothea Addo enrolled in Medicare?
Yes. Dorothea Addo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dorothea Addo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dorothea Addo reassigns Medicare benefits to 2 organizations: St Joseph Medical Group Inc (Fort Wayne, IN) and Lutheran Medical Group LLC (Fort Wayne, IN). Each 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 Dorothea Addo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dorothea Addo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Dorothea Addo 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.
Is Dorothea Addo affiliated with any hospitals?
According to CMS data, Dorothea Addo is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, St Joseph Health System, LLC and Dupont Hospital LLC.
When was this NPI record last updated?
The NPPES record for Dorothea Addo was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dorothea Addo, MD · NPI 1063478360
Internal Medicine physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since April 25, 2006.
## Identity
- **NPI:** 1063478360 (Entity type: Individual)
- **Enumerated:** April 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 01045551A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2622 LAKE AVE, Fort Wayne, IN 46805-5410
- **Phone:** (260) 425-3100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Joseph Medical Group Inc (NPI 1811952070, Fort Wayne, IN); Lutheran Medical Group LLC (NPI 1164662805, Fort Wayne, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** August 29, 2023
- **Other identifiers:** Medicaid 200163320 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1063478360) · Data from the CMS NPPES public registry.