INDIANA VEIN AND LASER CENTER
NPI 1356544308
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Wayne, IN

Active since June 07, 2007
2410 N GLENDALE DR, SUITE C, FORT WAYNE, IN 46804(260) 432-7654(260) 432-7709 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Indiana Vein And Laser Center NPPES

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

INDIANA VEIN AND LASER CENTER (NPI 1356544308) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Fort Wayne, Indiana and active in the NPI registry since June 2007. The organization lists Marcus A Jimenez, Coo, as its authorized official.

NPPES Registry Identity

NPI1356544308
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameMELMAR LLC
Location Address2410 N GLENDALE DR, SUITE CFort Wayne, IN 46804-8908
Mailing Address2410 N Glendale Dr, Suite CFort Wayne, IN 46804-8908 · (260) 432-7654 · Fax (260) 432-7709
Fax(260) 432-7709
Organization SubpartNo
Authorized OfficialMarcus A JimenezCoo · (260) 432-7654
Enumeration DateJune 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356544308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IN · 01043881A
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2410 N GLENDALE DR, Fort Wayne, IN 46804

Other Names 1

Doing Business AsIndiana Vein And Laser Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indiana Vein And Laser Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Indiana Vein And Laser Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vascular Surgery
NPI 1578655494
7231 ENGLE RD STE 100
Fort Wayne, IN 46804
(260) 432-7654
✔ PECOS✔ Accepts Medicare2.0 mi

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

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 Melmar LLC's NPI number?

The NPI number for Melmar LLC is 1356544308. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider is doing business as Indiana Vein And Laser Center.

Where is Melmar LLC located?

Melmar LLC is located at 2410 N Glendale Dr Suite C, Fort Wayne, IN 46804. The listed phone number is (260) 432-7654.

What is Melmar LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Melmar LLC enrolled in Medicare?

Yes. Melmar LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Melmar LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Melmar LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Melmar LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Melmar LLC 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 Melmar LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.