1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Pediatrics
  6. NPI Profile

DUPONT PEDIATRICS
NPI 1447634449
Pediatrics in Fort Wayne, IN

Active since July 20, 2015CLIA 15D2104060 · Waiver
2510 E DUPONT RD, SUITE 200, FORT WAYNE, IN 46825(260) 432-4913(260) 969-6832 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dupont Pediatrics NPPES

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

DUPONT PEDIATRICS (NPI 1447634449) is a healthcare organization registered as a pediatrics in Fort Wayne, Indiana and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Trish Warren, Cfo, as its authorized official.

NPPES Registry Identity

NPI1447634449
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameASSOCIATED SURGEONS AND PHYSICIANS, LLC
Location Address2510 E DUPONT RD, SUITE 200Fort Wayne, IN 46825-1601
Mailing Address2518 E Dupont RdFort Wayne, IN 46825-1675 · (260) 432-4400 · Fax (260) 969-6884
Phone(260) 432-4913
Fax(260) 969-6832
Organization SubpartNo
Authorized OfficialTrish WarrenCfo · (260) 432-4400
Enumeration DateJuly 20, 2015
Last NPPES UpdateJuly 18, 2016
✔ NPI 1447634449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01065437A
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.
2510 E DUPONT RD, Fort Wayne, IN 46825
Open in Google Maps ↗

Other Names 1

Doing Business AsDupont Pediatrics

Other Identifiers 2

Medicaid201338430QIN
Medicare PIN259990IN

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2104060

Dupont Pediatrics · Fort Wayne, IN
Active · expires Oct 26, 2027
CLIA Number15D2104060
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorOsita V. Ezeakudo
Laboratory Phone(260) 432-4913
Laboratory LocationDupont Pediatrics2510 East Dupont Rd Suite 200, Fort Wayne, IN 46825
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OSITA VICTOR EZEAKUDO M.D.
Pediatrics
2510 E DUPONT RD, SUITE 200
FORT WAYNE, IN 46825
Allen County (260) 432-4913
FW INTERVENTIONAL PAIN MANAGEMENT LLC
Anesthesiology
2510 E DUPONT RD, SUITE 115
FORT WAYNE, IN 46825
Allen County (260) 672-8979
MARY ANN MEO DO
Surgery
2510 E DUPONT RD, SUITE 210
FORT WAYNE, IN 46825
Allen County (260) 969-2990
ALTHEA J. JACKSON M.D.
Obstetrics & Gynecology
2510 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 490-9883
T-MED SERVICES, INC
Psychiatry & Neurology (Neurology)
2510 E DUPONT RD, SUITE 201
FORT WAYNE, IN 46825
Allen County (260) 267-6383
PULMONARY ASTHMA & ALLERGY CONSULTS
Internal Medicine (Pulmonary Disease)
2510 E DUPONT RD, STE 200
FORT WAYNE, IN 46825
Allen County (260) 489-6969
NORTHEAST FOOT & ANKLE CLINIC INC
Podiatrist
2510 E DUPONT RD, STE. 234
FORT WAYNE, IN 46825
Allen County (260) 416-0070
THREE RIVERS SURGICAL ASSOCIATES, LLC
Surgery
2510 E DUPONT RD, SUITE 210
FORT WAYNE, IN 46825
Allen County (260) 969-2990

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 Associated Surgeons And Physicians, LLC's NPI number?

The NPI number for Associated Surgeons And Physicians, LLC is 1447634449. It was assigned to this organization in the NPPES registry on July 20, 2015. The provider is doing business as Dupont Pediatrics.

Where is Associated Surgeons And Physicians, LLC located?

Associated Surgeons And Physicians, LLC is located at 2510 E Dupont Rd Suite 200, Fort Wayne, IN 46825. The listed phone number is (260) 432-4913.

What is Associated Surgeons And Physicians, LLC's specialty?

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

Does Associated Surgeons And Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2104060) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Associated Surgeons And Physicians, LLC was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.