FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC
NPI 1376533158
Internal Medicine - Hematology & Oncology in Fort Wayne, IN

Active since October 24, 2005
2514 E DUPONT RD STE 100, FORT WAYNE, IN 46825(260) 484-8830(260) 483-1911 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2023, Jun 28, 2021, Aug 2, 2019 (3 updates tracked since 2019).

About Fort Wayne Medical Oncology And Hematology, Inc NPPES

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

FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC (NPI 1376533158) is a healthcare organization registered as a hematology & oncology in Fort Wayne, Indiana and active in the NPI registry since October 2005. The organization lists Bethany Gisslen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376533158
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameFORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC
Location Address2514 E DUPONT RD STE 100Fort Wayne, IN 46825-1619
Mailing Address6610 Mutual DrFort Wayne, IN 46825-4236 · (260) 484-8830 · Fax (260) 483-1911
Fax(260) 483-1911
Organization SubpartNo
Authorized OfficialBethany GisslenCfo · (260) 484-8830
Enumeration DateOctober 24, 2005
Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1376533158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2514 E DUPONT RD STE 100, Fort Wayne, IN 46825

Other Identifiers 2

OtherCA4536IN · Medicare Rr
Medicaid100053330AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Fort Wayne Medical Oncology And Hematology, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Fort Wayne Medical Oncology And Hematology, Inc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Hematology/Oncology16
Nurse Practitioner10
Medical Oncology1

Nearest to this location (20)

See all 27
Hematology/Oncology
NPI 1598766925
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(260) 484-8830
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1528060431
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(260) 484-8830
✔ PECOSSame address
Nurse Practitioner
NPI 1124423165
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(260) 484-8830
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1396951299
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(260) 484-8830
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1437151347
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(260) 484-8830
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1255333167
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(260) 484-8830
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1982606893
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(260) 484-8830
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1518255942
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(260) 484-8830
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598010357
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(260) 484-8830
✔ PECOSSame address
Nurse Practitioner
NPI 1538627617
2514 E DUPONT RD STE 100
Fort Wayne, IN 46825
(604) 848-8302
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487380499
11050 PARKVIEW CIRCLE DR
Fort Wayne, IN 46845
(833) 724-8326
✔ PECOS✔ Accepts Medicare0.7 mi
Hematology/Oncology
NPI 1891968301
7910 W JEFFERSON BLVD STE 108
Fort Wayne, IN 46804
(260) 484-8830
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1003012352
7910 W JEFFERSON BLVD STE 108
Fort Wayne, IN 46804
(260) 484-8830
✔ PECOS✔ Accepts Medicare12 mi
Hematology/Oncology
NPI 1447252135
7910 W JEFFERSON BLVD STE 108
Fort Wayne, IN 46804
(260) 484-8830
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1003058454
7910 W JEFFERSON BLVD STE 108
Fort Wayne, IN 46804
(260) 436-0800
✔ PECOS✔ Accepts Medicare12 mi
Hematology/Oncology
NPI 1134330061
7910 W JEFFERSON BLVD STE 108
Fort Wayne, IN 46804
(260) 484-8830
✔ PECOS✔ Accepts Medicare12 mi
Hematology/Oncology
NPI 1073515987
7910 W JEFFERSON BLVD STE 108
Fort Wayne, IN 46804
(260) 484-8830
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1831796762
7910 W JEFFERSON BLVD STE 108
Fort Wayne, IN 46804
(260) 436-0800
✔ PECOS✔ Accepts Medicare12 mi
Medical Oncology
NPI 1790787604
7910 W JEFFERSON BLVD STE 108
Fort Wayne, IN 46804
(260) 484-8830
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1639313158
7910 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 484-8830
✔ PECOS✔ Accepts Medicare12 mi
See all 27 clinicians

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 Fort Wayne Medical Oncology And Hematology, Inc's NPI number?

The NPI number for Fort Wayne Medical Oncology And Hematology, Inc is 1376533158. It was assigned to this organization in the NPPES registry on October 24, 2005.

Where is Fort Wayne Medical Oncology And Hematology, Inc located?

Fort Wayne Medical Oncology And Hematology, Inc is located at 2514 E Dupont Rd Ste 100, Fort Wayne, IN 46825. The listed phone number is (260) 484-8830.

What is Fort Wayne Medical Oncology And Hematology, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Fort Wayne Medical Oncology And Hematology, Inc enrolled in Medicare?

Yes. Fort Wayne Medical Oncology And Hematology, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Wayne Medical Oncology And Hematology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 3 Medicare specialties reassign their Medicare billing to Fort Wayne Medical Oncology And Hematology, 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 Hematology/Oncology (16), Nurse Practitioner (10) and Medical Oncology (1). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fort Wayne Medical Oncology And Hematology, Inc 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 Fort Wayne Medical Oncology And Hematology, 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 Fort Wayne Medical Oncology And Hematology, Inc was last updated on December 4, 2023. 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.