SAILAJA M BLACKMON MD
NPI 1316946718
Obstetrics & Gynecology in Fort Wayne, IN

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11123 PARKVIEW PLAZA DR, SUITE 101, FORT WAYNE, IN 46845(260) 425-6650(260) 425-6649 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 5, 2023, Apr 12, 2017 (2 updates tracked since 2017).

About Sailaja M Blackmon Md NPPES

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

SAILAJA M BLACKMON MD (NPI 1316946718) is an individual obstetrics & gynecology provider in Fort Wayne, Indiana, licensed in Indiana (01043883A) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains a secondary practice location in Carmel.

NPPES Registry Identity

NPI1316946718
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSAILAJA M BLACKMONCredential: MD
Location Address11123 PARKVIEW PLAZA DR, SUITE 101Fort Wayne, IN 46845-1707
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 425-6649
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1991
Enumeration DateJuly 18, 2005
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
NPI 1316946718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IN · 01043883A
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11123 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Secondary Practice Location 1

Location 111725 Illinois StCarmel, IN 46032-3008 · Phone (317) 688-5200

Other Identifiers 6

Other000000511561IN · Anthem Provider Id# - Whc
OtherP00831360IN · Railroad Medicare
Other3013241IN · Oh Medicaid
Other000000595613IN · Anthem
Medicaid200045490IN
Medicaid200045490AIN

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

Sailaja M Blackmon Md 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 ID7416924477
PECOS Enrollment IDI20040910000642
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services23 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

Clinic/Center (Medical Specialty)
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 204
FT WAYNE, IN 46845
Counselor (Mental Health)
11123 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 46845
Pediatrics (Pediatric Infectious Diseases)
11123 PARKVIEW PLAZA DR, STE # 102
FORT WAYNE, IN 46845
Physician Assistant
11123 PARKVIEW PLAZA DR, # 102
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11123 PARKVIEW PLAZA DR, SUITE 202
FORT WAYNE, IN 46845
Specialist
11123 PARKVIEW PLAZA DR, SUITE 2
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316946718, enumerated as an "individual" on July 18, 2005.

The provider is located at 11123 PARKVIEW PLAZA DR SUITE 101 FORT WAYNE, IN 46845 and the phone number is (260) 425-6650.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Sailaja Blackmon is affiliated with: MARION GENERAL HOSPITAL and PARKVIEW REGIONAL MEDICAL CENTER.