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JUSTIN KHOI DO
NPI 1336993617
Dentist in Fort Wayne, IN

Active since April 15, 2024PECOS Enrolled
1717 S CALHOUN ST, FORT WAYNE, IN 46802(260) 458-2641 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Justin Khoi Do NPPES

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

JUSTIN KHOI DO (NPI 1336993617) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12014441A) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336993617
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJUSTIN KHOI DO
Location Address1717 S CALHOUN STFort Wayne, IN 46802-5257
Mailing Address30239 Beechwood StGarden City, MI 48135-2385 · (734) 578-6447
Phone(260) 458-2641
Sole ProprietorYes
Enumeration DateApril 15, 2024
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1336993617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12014441A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1717 S CALHOUN ST, Fort Wayne, IN 46802
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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)

Justin Khoi Do 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 Reassignment

Medicare enrollment records show Justin Do reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neighborhood Health Clinics, Inc
Same address
Clinic/Center
1717 S CALHOUN ST
Fort Wayne, IN 46802
  • Reassigned Medicare billing, Indiana enrollment
  • 36 clinicians in this Medicare group
NPI 1548291222 (260) 458-2641

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 46802 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
$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.

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.

RONALD R HALL M.D.
Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
LINDSEY DIANE HOSKINS
Physician Assistant
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2541
ALLISON TRELEAVEN O.D.
Optometrist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
ZELALEM BOGALE AMARE
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
MS. LUDMILA ROEBEL NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
DR. MIRIVA MAGAR M.D.
Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
TESSA CREAGER
Dentist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
DR. ANGELA R OJEDA DDS
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641

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 Justin Do's NPI number?

The NPI number for Justin Do is 1336993617. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Justin Do located?

Justin Do practices at 1717 S Calhoun St, Fort Wayne, IN 46802. The listed phone number is (260) 458-2641.

What is Justin Do's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Justin Do enrolled in Medicare?

Yes. Justin Do is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Do's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Do reassigns Medicare benefits to Neighborhood Health Clinics, Inc (Fort Wayne, IN). The 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 Justin Do's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Do accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Justin Do 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 Justin Do was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.