FORT WAYNE ENDOCRINOLOGY PC
NPI 1285786111
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fort Wayne, IN

Q: 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.

Q: 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.

Active since January 18, 2007CLIA 15D0955355 · Certificate of Compliance

5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-1248(260) 436-7968 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1285786111

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameFORT WAYNE ENDOCRINOLOGY PC

Location Address5010 W JEFFERSON BLVDFort Wayne, IN 46804-6804

Mailing Address5010 W Jefferson BlvdFort Wayne, IN 46804-6804 · (260) 436-1248 · Fax (260) 436-7968

Phone(260) 436-1248

Fax(260) 436-7968

Organization SubpartNo

Authorized OfficialJenney NewbyOffice Manager · (260) 436-1248

Enumeration DateJanuary 18, 2007

Last NPPES UpdateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1285786111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

5010 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Other Identifiers 1

Medicaid200218650IN

Group Practice 1

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

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, IN

Active · expires Dec 8, 2027

CLIA Number15D0955355

Laboratory TypePhysician Office

Certificate Effective DateDecember 9, 2025

Certificate Expiration DateDecember 8, 2027

Laboratory DirectorDr. Ashok Kadambi

Laboratory Phone(260) 436-1248

Laboratory LocationFort Wayne Endocrinology5010 W Jefferson Blvd, Fort Wayne, IN 46804

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

AMERICAN KIDNEY CLINICS

Internal Medicine (Nephrology)