FORT WAYNE NEUROSURGERY
NPI 1366433369
Neurological Surgery in Fort Wayne, IN

Active since October 31, 2005
7956 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-2416 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fort Wayne Neurosurgery NPPES

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

FORT WAYNE NEUROSURGERY (NPI 1366433369) is a healthcare organization registered as a neurological surgery in Fort Wayne, Indiana and active in the NPI registry since October 2005. The organization lists Isa S Canavati, President, as its authorized official.

NPPES Registry Identity

NPI1366433369
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameALLIED PHYSICIANS INC
Location Address7956 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address7956 W Jefferson BlvdFort Wayne, IN 46804-4140 · (260) 436-2416
Organization SubpartNo
Authorized OfficialIsa S CanavatiPresident · (260) 436-2416
Enumeration DateOctober 31, 2005
Last NPPES UpdateDecember 7, 2018
✔ NPI 1366433369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
7956 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Names 1

Doing Business AsFort Wayne Neurosurgery

Other Identifiers 4

Medicaid0515955OH
Medicaid100277310IN
Medicaid268567100FL
OtherCC1548IN · Railroad Medicare

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Wayne Neurosurgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040422000314Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Fort Wayne Neurosurgery, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Neurology6
Nurse Practitioner6
Neurosurgery4

Clinicians, nearest first (16)

Neurology
NPI 1083828719
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1952308413
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366901902
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1487651873
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1407853146
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1841297041
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164880605
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1053845289
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225035421
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOSSame address
Neurology
NPI 1437156239
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265041016
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1861603466
7910 W JEFFERSON BLVD STE 205B
Fort Wayne, IN 46804
(260) 397-7463
✔ PECOS✔ Accepts Medicare0.2 mi
Neurology
NPI 1376540823
2510 E DUPONT RD STE 226
Fort Wayne, IN 46825
(260) 460-3100
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1417907189
2510 E DUPONT RD STE 226
Fort Wayne, IN 46825
(260) 460-3100
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1497130272
2510 E DUPONT RD STE 226
Fort Wayne, IN 46825
(260) 460-3100
✔ PECOS✔ Accepts Medicare12 mi
Neurosurgery
NPI 1275502726
815 SW BOND ST
Bend, OR 97702
(541) 382-4900
✔ PECOS✔ Accepts Medicare1,838 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 Allied Physicians Inc's NPI number?

The NPI number for Allied Physicians Inc is 1366433369. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is doing business as Fort Wayne Neurosurgery.

Where is Allied Physicians Inc located?

Allied Physicians Inc is located at 7956 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-2416.

What is Allied Physicians Inc's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Allied Physicians Inc enrolled in Medicare?

Yes. Allied Physicians Inc is registered in the Medicare PECOS enrollment system.

When is Allied Physicians Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Allied Physicians Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Allied Physicians Inc. 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. The largest specialties are Neurology (6), Nurse Practitioner (6) and Neurosurgery (4). Of these, 11 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allied Physicians Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Allied Physicians Inc 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 Allied Physicians Inc was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.