FORT WAYNE ORTHOPEDICS, LLC
NPI 1255750352
Durable Medical Equipment & Medical Supplies in Fort Wayne, IN
NPI Status: Active since April 16, 2014
Contact Information
800 BROADWAY
STE 215
FORT WAYNE, IN
ZIP 46802
Phone: (260) 436-8686
Fax: (260) 436-8585
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 15D0889456
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-29-2027
About FORT WAYNE ORTHOPEDICS, LLC
This page provides the complete NPI Profile along with additional information for Fort Wayne Orthopedics, Llc, a provider established in Fort Wayne, Indiana operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1255750352 assigned on April 2014. The practitioner's primary taxonomy code is 332B00000X with license number 50002482 (IN). The provider is registered as an organization and their NPI record was last updated 11 years ago. Fort Wayne Orthopedics, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Fort Wayne Orthopedics, Llc. The authorized official of this NPI record is Jerald L. Cooper M.d. (President)
- NPI
- 1255750352
- Provider Legal Name
- FORT WAYNE ORTHOPAEDICS, LLC
- Other Organization Name
- FORT WAYNE ORTHOPEDICS, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 800 BROADWAY STE 215 FORT WAYNE, IN 46802
- Location Phone
- (260) 436-8686
- Location Fax
- (260) 436-8585
- Mailing Address
- PO BOX 2526 FORT WAYNE, IN 46801
- Mailing Phone
- (260) 436-8686
- Mailing Fax
- (260) 436-8585
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-16-2014
- Last Update Date
- 01-27-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 50002482
- License State
- IN
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 2 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 3 | 207XS0114X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 4 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 5 | 207XX0004X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 6 | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 7 | 207XX0801X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 8 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | 50002482 (IN) |
| 9 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | 50002482 (IN) |
| 10 | 213ES0131X | Podiatric Medicine & Surgery Service Providers | Podiatrist | 50002482 (IN) |
| 11 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 50002482 (IN) |
| 12 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 50002482 (IN) |
| 13 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 50002482 (IN) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0162610002 | MEDICARE NSC (07) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0889456
- Facility Type
- Physician Office
- Certificate Effective Date
- September 30, 2025
- Certificate Expiration Date
- September 29, 2027
- Laboratory Director
- KEVIN A. RAHN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fort Wayne Orthopedics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255750352, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
FORT WAYNE, IN 46802
FORT WAYNE, IN 46802
FORT WAYNE, IN 46802
FORT WAYNE, IN 46802
FORT WAYNE, IN 46802
FORT WAYNE, IN 46802
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255750352, enumerated as an "organization" on April 16, 2014.
The provider is located at 800 BROADWAY STE 215 FORT WAYNE, IN 46802 and the phone number is (260) 436-8686.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
