FORT WAYNE ENDOCRINOLOGY PC
NPI 1285786111
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fort Wayne, IN
About Fort Wayne Endocrinology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT WAYNE ENDOCRINOLOGY PC (NPI 1285786111) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Fort Wayne, Indiana and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 8, 2027 and lists Jenney Newby, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fort Wayne Endocrinology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Fort Wayne Endocrinology PC, 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 (5)
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 Compliance 15D0955355
Fort Wayne Endocrinology · Fort Wayne, INFrequently 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 Endocrinology PC's NPI number?
The NPI number for Fort Wayne Endocrinology PC is 1285786111. It was assigned to this organization in the NPPES registry on January 18, 2007.
Where is Fort Wayne Endocrinology PC located?
Fort Wayne Endocrinology PC is located at 5010 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-1248.
What is Fort Wayne Endocrinology PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Fort Wayne Endocrinology PC enrolled in Medicare?
Yes. Fort Wayne Endocrinology PC is registered in the Medicare PECOS enrollment system.
When is Fort Wayne Endocrinology PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fort Wayne Endocrinology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Fort Wayne Endocrinology PC. 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 Nurse Practitioner (3), Endocrinology (1) and General Practice (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 Endocrinology PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 15D0955355) is associated with this NPI, valid through December 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fort Wayne Endocrinology PC was last updated on February 11, 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 Endocrinology Pc · NPI 1285786111
Endocrinology, Diabetes & Metabolism organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since January 18, 2007.
## Identity
- **NPI:** 1285786111 (Entity type: Organization)
- **Enumerated:** January 18, 2007
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Jenney Newby, OFFICE MANAGER
## Practice location
- **Address:** 5010 W JEFFERSON BLVD, Fort Wayne, IN 46804-6804
- **Phone:** (260) 436-1248 · **Fax:** (260) 436-7968
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Endocrinology (1), General Practice (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2026
- **Other identifiers:** Medicaid 200218650 (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285786111) · Data from the CMS NPPES public registry.