EKATERINA DIANOVA M.D.
NPI 1306379789
Pediatrics - Neonatal-Perinatal Medicine in Fort Wayne, IN

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 672-6443(260) 672-6459 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2023, Jul 13, 2023 (2 updates tracked since 2023).

About Ekaterina Dianova M.d. NPPES

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

EKATERINA DIANOVA M.D. (NPI 1306379789) is an individual neonatal-perinatal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01089191A) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1306379789
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameEKATERINA DIANOVACredential: M.D.
Location Address11115 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 672-6459
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 4, 2017
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1306379789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in IN · 01089191A
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

11115 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ekaterina Dianova M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628314325
PECOS Enrollment IDI20230717001478
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR, DEPT. OF NEONATOLOGY
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Genetic Counselor, MS
11115 PARKVIEW PLAZA DR, ATTN: SARAH KING
FORT WAYNE, IN 46845
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner (Family)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306379789, enumerated as an "individual" on April 04, 2017.

The provider is located at 11115 PARKVIEW PLAZA DR FORT WAYNE, IN 46845 and the phone number is (260) 672-6443.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and CareSource. Please consult your insurance carrier or call the provider to verify.