FORT WAYNE INTEGRATIVE MEDICINE
NPI 1245686989
Internal Medicine in Fort Wayne, IN

Active since May 12, 2016
3919 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 475-0772 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2018, May 12, 2016 (2 updates tracked since 2016).

About Fort Wayne Integrative Medicine NPPES

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

FORT WAYNE INTEGRATIVE MEDICINE (NPI 1245686989) is a healthcare organization registered as an internal medicine in Fort Wayne, Indiana and active in the NPI registry since May 2016. The organization lists Vishaal Veerula, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1245686989
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORT WAYNE INTEGRATIVE MEDICINE
Location Address3919 W JEFFERSON BLVDFort Wayne, IN 46804-6811
Mailing Address3919 W Jefferson BlvdFort Wayne, IN 46804-6811 · (260) 475-0772
Organization SubpartNo
Authorized OfficialVishaal VeerulaMedical Director · (260) 475-0772
Enumeration DateMay 12, 2016
Last NPPES UpdateApril 18, 20182 updates tracked since enumeration
NPI 1245686989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedDermatologyTaxonomy 207N00000X
3919 W JEFFERSON BLVD, Fort Wayne, IN 46804

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3919 W JEFFERSON BLVD, SUITE 1
FORT WAYNE, IN 46804
Specialist
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Clinic/Center (Urgent Care)
3919 W JEFFERSON BLVD, SUITE 2
FORT WAYNE, IN 46804
Physician Assistant
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Pediatrics)
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Pediatrics)
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804

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 Integrative Medicine's NPI number?

The NPI number for Fort Wayne Integrative Medicine is 1245686989. It was assigned to this organization in the NPPES registry on May 12, 2016.

Where is Fort Wayne Integrative Medicine located?

Fort Wayne Integrative Medicine is located at 3919 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 475-0772.

What is Fort Wayne Integrative Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Fort Wayne Integrative Medicine was last updated on April 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.