ASSOCIATED SURGEONS AND PHYSICIANS, LLC
NPI 1083868269
Obstetrics & Gynecology in Fort Wayne, IN

Active since November 14, 2008CLIA Certified · 2 labs
2518 E DUPONT RD, FORT WAYNE, IN 46825(260) 432-4400(260) 969-6898 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2016, Dec 18, 2015 (2 updates tracked since 2015).

About Associated Surgeons And Physicians, Llc NPPES

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

ASSOCIATED SURGEONS AND PHYSICIANS, LLC (NPI 1083868269) is a healthcare organization registered as an obstetrics & gynecology in Fort Wayne, Indiana and active in the NPI registry since November 2008. The organization holds 2 active CLIA laboratory certificates and lists Trish Warren, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083868269
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameASSOCIATED SURGEONS AND PHYSICIANS, LLC
Location Address2518 E DUPONT RDFort Wayne, IN 46825-1675
Mailing Address2518 E Dupont RdFort Wayne, IN 46825-1675 · (260) 432-4400 · Fax (260) 969-6898
Fax(260) 969-6898
Organization SubpartNo
Authorized OfficialTrish WarrenCfo · (260) 432-4400
Enumeration DateNovember 14, 2008
Last NPPES UpdateOctober 5, 20162 updates tracked since enumeration
✔ NPI 1083868269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
2518 E DUPONT RD, Fort Wayne, IN 46825

Other Identifiers 1

Medicare PIN259990IN

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Associated Surgeons And Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Associated Surgeons And Physicians, LLC, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Obstetrics/Gynecology16
Nurse Practitioner9
Colorectal Surgery (Proctology)4
Certified Nurse Midwife (CNM)1

Nearest to this location (20)

See all 30
Nurse Practitioner
NPI 1073878765
10215 AUBURN PARK DR
Fort Wayne, IN 46825
(260) 490-2229
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Nurse Midwife (CNM)
NPI 1336835172
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1912498528
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1164636429
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1245421536
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1619402583
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1245754779
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1639601156
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1881207348
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1669042735
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1326373192
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1689725418
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1467442889
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1265102305
700 BROADWAY
Fort Wayne, IN 46802
(260) 344-4035
✔ PECOS✔ Accepts Medicare7.2 mi
Obstetrics/Gynecology
NPI 1841555380
9941 ILLINOIS RD
Fort Wayne, IN 46804
(260) 264-0384
✔ PECOS11 mi
Obstetrics/Gynecology
NPI 1588659064
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-4400
✔ PECOS✔ Accepts Medicare12 mi
Colorectal Surgery (Proctology)
NPI 1972766970
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-0259
✔ PECOS✔ Accepts Medicare12 mi
Obstetrics/Gynecology
NPI 1235129859
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-4400
✔ PECOS✔ Accepts Medicare12 mi
Colorectal Surgery (Proctology)
NPI 1821184052
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-0259
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1043092372
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-4400
✔ PECOS✔ Accepts Medicare12 mi
See all 30 clinicians

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

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 15D0970813

Associated Surgeons And Physicians, LLC · Fort Wayne, IN
Active · expires Jan 29, 2027
CLIA Number15D0970813
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorDr. Justin D. Richey
Laboratory Phone(260) 432-4400
Laboratory LocationAssociated Surgeons And Physicians, LLC2518 E Dupont Rd, Fort Wayne, IN 46825
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 15D0986622

Associated Surgeons And Physicians, LLC · Fort Wayne, IN
Active · expires Nov 11, 2026
CLIA Number15D0986622
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorKeith R. Davis
Laboratory Phone(260) 432-4400
Laboratory LocationAssociated Surgeons And Physicians, LLC7988 W Jefferson Blvd, Fort Wayne, IN 46815
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2160510

Associated Surgeons And Physicians, LLC · Fort Wayne, IN
Expired · Oct 14, 2026
CLIA Number15D2160510
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorKeith R. Davis
Laboratory Phone(260) 432-4400
Laboratory LocationAssociated Surgeons And Physicians, LLC2518 E Dupont Rd, 1st Floor, Fort Wayne, IN 46825
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Associated Surgeons And Physicians, LLC's NPI number?

The NPI number for Associated Surgeons And Physicians, LLC is 1083868269. It was assigned to this organization in the NPPES registry on November 14, 2008.

Where is Associated Surgeons And Physicians, LLC located?

Associated Surgeons And Physicians, LLC is located at 2518 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 432-4400.

What is Associated Surgeons And Physicians, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Associated Surgeons And Physicians, LLC enrolled in Medicare?

Yes. Associated Surgeons And Physicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associated Surgeons And Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 4 Medicare specialties reassign their Medicare billing to Associated Surgeons And Physicians, LLC. 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. The largest specialties are Obstetrics/Gynecology (16), Nurse Practitioner (9) and Colorectal Surgery (Proctology) (4). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Associated Surgeons And Physicians, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Associated Surgeons And Physicians, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Associated Surgeons And Physicians, LLC 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 Associated Surgeons And Physicians, LLC was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.