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PEDSTAT
NPI 1265519185
Clinic/Center - Urgent Care in Fort Wayne, IN

Active since November 01, 2006
3919 W JEFFERSON BLVD, SUITE 2, FORT WAYNE, IN 46804(260) 436-7722(260) 459-0012 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pedstat NPPES

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

PEDSTAT (NPI 1265519185) is a healthcare organization registered as an urgent care in Fort Wayne, Indiana and active in the NPI registry since November 2006. The organization lists Giridhar Rao Veerula, Owner, as its authorized official.

NPPES Registry Identity

NPI1265519185
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePEDSTAT
Location Address3919 W JEFFERSON BLVD, SUITE 2Fort Wayne, IN 46804-6811
Mailing Address3919 W Jefferson Blvd, Suite 2Fort Wayne, IN 46804-6811 · (260) 436-7722 · Fax (260) 459-0012
Phone(260) 436-7722
Fax(260) 459-0012
Organization SubpartNo
Authorized OfficialGiridhar Rao VeerulaOwner · (260) 436-7722
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 7, 2007
✔ NPI 1265519185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
3919 W JEFFERSON BLVD, Fort Wayne, IN 46804
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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.

JEFFERSON PEDIATRICS, PC
Nurse Practitioner (Family)
3919 W JEFFERSON BLVD, SUITE 1
FORT WAYNE, IN 46804
Allen County (260) 436-7722
GIRIDHAR RAO VEERULA
Specialist
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-7722
FORT WAYNE INTEGRATIVE MEDICINE
Internal Medicine
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 475-0772
BRITTANY LEE SCHOENLE PA
Physician Assistant
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-7722
BERNITA FLYE
Nurse Practitioner (Pediatrics)
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-7722
LISA MOELLERING RN, CPNP-PC
Nurse Practitioner (Pediatrics)
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (832) 482-8518

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 Pedstat's NPI number?

The NPI number for Pedstat is 1265519185. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Pedstat located?

Pedstat is located at 3919 W Jefferson Blvd Suite 2, Fort Wayne, IN 46804. The listed phone number is (260) 436-7722.

What is Pedstat's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Pedstat was last updated on September 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.