FORT WAYNE VASCULAR CARE LLC
NPI 1225684368
Clinic/Center - Ambulatory Surgical in Fort Wayne, IN
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
Specialties & Licenses
Other Names 1
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)
Fort Wayne Vascular Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Fort Wayne Vascular Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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
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, INAreas 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.
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.
Is Fort Wayne Vascular Care LLC enrolled in Medicare?
Yes. Fort Wayne Vascular Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fort Wayne Vascular Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Fort Wayne Vascular Care 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 Nephrology (7) and Internal Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Fort Wayne Vascular Care Llc · NPI 1225684368
Ambulatory Surgical organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since August 14, 2019.
## Identity
- **NPI:** 1225684368 (Entity type: Organization)
- **Enumerated:** August 14, 2019
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Also known as:** Nephrology Associates of Northern Indiana PC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Manish Tanna, MD
## Practice location
- **Address:** 1833 MAGNAVOX WAY # 100, Fort Wayne, IN 46804-1539
- **Phone:** (260) 918-0997 · **Fax:** (260) 436-7665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (7), Internal Medicine (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225684368) · Data from the CMS NPPES public registry.