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: October 25, 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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dupont Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Dupont Pediatrics, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Obstetrics/Gynecology16
Nurse Practitioner9
Colorectal Surgery (Proctology)4
Certified Nurse Midwife (CNM)1

Nearest to this location (20)

See all 30
Nurse Practitioner
NPI 1073878765
10215 AUBURN PARK DR
Fort Wayne, IN 46825
(260) 490-2229
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Nurse Midwife (CNM)
NPI 1336835172
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1912498528
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1164636429
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1245421536
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1619402583
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1245754779
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1639601156
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1881207348
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1669042735
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1326373192
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1689725418
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1467442889
2518 E DUPONT RD
Fort Wayne, IN 46825
(260) 432-4400
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1265102305
700 BROADWAY
Fort Wayne, IN 46802
(260) 344-4035
✔ PECOS✔ Accepts Medicare7.1 mi
Obstetrics/Gynecology
NPI 1841555380
9941 ILLINOIS RD
Fort Wayne, IN 46804
(260) 264-0384
✔ PECOS11 mi
Obstetrics/Gynecology
NPI 1588659064
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-4400
✔ PECOS✔ Accepts Medicare12 mi
Colorectal Surgery (Proctology)
NPI 1972766970
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-0259
✔ PECOS✔ Accepts Medicare12 mi
Obstetrics/Gynecology
NPI 1235129859
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-4400
✔ PECOS✔ Accepts Medicare12 mi
Colorectal Surgery (Proctology)
NPI 1821184052
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-0259
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1043092372
7988 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-4400
✔ PECOS✔ Accepts Medicare12 mi
See all 30 clinicians

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

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.

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.

Is Associated Surgeons And Physicians, LLC enrolled in Medicare?

Yes. Associated Surgeons And Physicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associated Surgeons And Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 4 Medicare specialties reassign their Medicare billing to Associated Surgeons And Physicians, 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. The largest specialties are Obstetrics/Gynecology (16), Nurse Practitioner (9) and Colorectal Surgery (Proctology) (4). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.