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THOMAS A GIAQUINTA
NPI 1326281650
Pediatrics in Fort Wayne, IN

Active since April 16, 2009PECOS Enrolled
1818 CAREW ST STE 320, FORT WAYNE, IN 46805(260) 373-5890(260) 422-8444 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2021, Jun 22, 2017, Feb 21, 2017 (3 updates tracked since 2017).

About Thomas A Giaquinta NPPES

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

THOMAS A GIAQUINTA (NPI 1326281650) is an individual pediatrics provider in Fort Wayne, Indiana, licensed in Indiana (01071322A) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326281650
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHOMAS A GIAQUINTA
Location Address1818 CAREW ST STE 320Fort Wayne, IN 46805-4764
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 373-5890
Fax(260) 422-8444
Sole ProprietorNo
Enumeration DateApril 16, 2009
Last NPPES UpdateJune 28, 20213 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
✔ NPI 1326281650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01071322A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 01071322A (IN)
1818 CAREW ST STE 320, Fort Wayne, IN 46805
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas A Giaquinta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Giaquinta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Health Centers, Inc.
1.7 mi
Federally Qualified Health Center (FQHC)
404 E WASHINGTON BLVD
Fort Wayne, IN 46802
  • Reassigned Medicare billing, Indiana enrollment
  • 63 clinicians in this Medicare group
NPI 1588347546 (260) 266-0780
Parkview Health System,inc.
6.5 mi
Gastroenterology
11104 PARKVIEW CIRCLE DR STE 310
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1437461449 (260) 266-5230

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANGELA NOEL TROYER NP
Nurse Practitioner
1818 CAREW ST STE 320
FORT WAYNE, IN 46805
Allen County (260) 425-6710
GLENIS A SUNDBERG MS. ED; LMFT
Marriage & Family Therapist
1818 CAREW ST STE 320
FORT WAYNE, IN 46805
Allen County (260) 373-5890
JENNIFER ANN BURKHART P.A.
Physician Assistant
1818 CAREW ST STE 320
FORT WAYNE, IN 46805
Allen County (260) 373-5890
RYAN TIMOTHY GRIMM M.D.
Pediatrics
1818 CAREW ST STE 320
FORT WAYNE, IN 46805
Allen County (260) 373-5890
DR. LYNDA K OTTO MD
Pediatrics
1818 CAREW ST STE 320
FORT WAYNE, IN 46805
Allen County (260) 373-5890

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 Thomas Giaquinta's NPI number?

The NPI number for Thomas Giaquinta is 1326281650. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Thomas Giaquinta located?

Thomas Giaquinta practices at 1818 Carew St Ste 320, Fort Wayne, IN 46805. The listed phone number is (260) 373-5890.

What is Thomas Giaquinta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Giaquinta enrolled in Medicare?

Yes. Thomas Giaquinta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Giaquinta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Giaquinta reassigns Medicare benefits to 2 organizations: Alliance Health Centers, Inc. (Fort Wayne, IN) and Parkview Health System,inc. (Fort Wayne, IN). Each 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 Thomas Giaquinta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Giaquinta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Thomas Giaquinta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Giaquinta was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.