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FORT WAYNE VASCULAR CARE LLC
NPI 1225684368
Clinic/Center - Ambulatory Surgical in Fort Wayne, IN

Active since August 14, 2019CLIA 15D2164630 · Waiver
1833 MAGNAVOX WAY # 100, FORT WAYNE, IN 46804(260) 918-0997(260) 436-7665 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2026, Mar 7, 2025, Nov 2, 2021 and 1 more (4 updates tracked since 2019).

About Fort Wayne Vascular Care Llc NPPES

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

FORT WAYNE VASCULAR CARE LLC (NPI 1225684368), doing business as Nephrology Associates Of Northern Indiana Pc, is a healthcare organization registered as an ambulatory surgical in Fort Wayne, Indiana and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Manish Tanna, Md, as its authorized official.

NPPES Registry Identity

NPI1225684368
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFORT WAYNE VASCULAR CARE LLC
Location Address1833 MAGNAVOX WAY # 100Fort Wayne, IN 46804-1539
Mailing Address120 W 22nd St, Suite 200Oak Brook, IL 60523-1563 · (630) 573-5000 · Fax (630) 368-0280
Phone(260) 918-0997
Fax(260) 436-7665
Organization SubpartNo
Authorized OfficialManish TannaMd · (630) 573-5000
Enumeration DateAugust 14, 2019
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1225684368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1833 MAGNAVOX WAY # 100, Fort Wayne, IN 46804
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Other Names 1

Doing Business AsNephrology Associates Of Northern Indiana Pc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 15D2164630

Fort Wayne Vascular Care, LLC · Ft Wayne, IN
Active · expires Apr 9, 2027
CLIA Number15D2164630
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorCynthia Wiersema
Laboratory Phone(260) 918-0997
Laboratory LocationFort Wayne Vascular Care, LLC1833 Magnavox Way #100, Ft Wayne, IN 46804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
142 services109 patients
Replacement of tunneled central venous tube 36581
A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.
61 services47 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
54 services53 patients
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901
This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.
27 services26 patients
Insertion of tunneled central venous tube for infusion (5 years or older) 36558
The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
23 services23 patients
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905
This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.
21 services16 patients

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 Fort Wayne Vascular Care LLC's NPI number?

The NPI number for Fort Wayne Vascular Care LLC is 1225684368. It was assigned to this organization in the NPPES registry on August 14, 2019. The provider is doing business as Nephrology Associates of Northern Indiana PC.

Where is Fort Wayne Vascular Care LLC located?

Fort Wayne Vascular Care LLC is located at 1833 Magnavox Way # 100, Fort Wayne, IN 46804. The listed phone number is (260) 918-0997.

What is Fort Wayne Vascular Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Fort Wayne Vascular Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2164630) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fort Wayne Vascular Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Fort Wayne Vascular Care 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 Fort Wayne Vascular Care LLC was last updated on February 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.