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SUMMIT MEDICAL ASSOCIATES LLC
NPI 1063517084
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN

Active since September 14, 2006
4656 W JEFFERSON BLVD, SUITE 125, FORT WAYNE, IN 46804(260) 434-1177(888) 854-6745 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Medical Associates Llc NPPES

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

SUMMIT MEDICAL ASSOCIATES LLC (NPI 1063517084) is a healthcare organization registered as a cardiovascular disease in Fort Wayne, Indiana and active in the NPI registry since September 2006. The organization lists Bhaktavatsala R Apuri, Owner, as its authorized official.

NPPES Registry Identity

NPI1063517084
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSUMMIT MEDICAL ASSOCIATES LLC
Location Address4656 W JEFFERSON BLVD, SUITE 125Fort Wayne, IN 46804-6857
Mailing Address4656 W Jefferson Blvd, Suite 125Fort Wayne, IN 46804-6857 · (260) 434-1177 · Fax (888) 854-6745
Phone(260) 434-1177
Fax(888) 854-6745
Organization SubpartNo
Authorized OfficialBhaktavatsala R ApuriOwner · (260) 434-1177
Enumeration DateSeptember 14, 2006
Last NPPES UpdateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1063517084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4656 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Identifiers 1

Medicaid200468080AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MRS. ANDRA D. JOHNSON LISW, LCSW, LCAC
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Allen County (260) 422-9372
MRS. JAN C BOGGS LCSW
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Allen County (260) 422-9372
SUSAN TIELKER-SHARPE COUNSELING, LLC
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Allen County (260) 422-9372
GERARD ASSOCIATES INC
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Allen County (260) 422-9372
ANDRA D. JOHNSON
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Allen County (260) 422-9372
ROBIN ATKINS LMHC, M.A.
Counselor (Professional)
4656 W JEFFERSON BLVD, 285
FORT WAYNE, IN 46804
Allen County (260) 918-4686
FAMILY AND CHILDREN BEHAVIORAL HEALTH PC
Clinic/Center (Adolescent and Children Mental Health)
4656 W JEFFERSON BLVD, STE. 135
FORT WAYNE, IN 46804
Allen County (260) 436-0959
COSLOW & ASSOCIATES LTD
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Allen County (260) 422-9372

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 Summit Medical Associates LLC's NPI number?

The NPI number for Summit Medical Associates LLC is 1063517084. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Summit Medical Associates LLC located?

Summit Medical Associates LLC is located at 4656 W Jefferson Blvd Suite 125, Fort Wayne, IN 46804. The listed phone number is (260) 434-1177.

What is Summit Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Summit Medical Associates LLC was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.