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FT WAYNE CARDIAC INTEGRATIVE AND PRIMARY CARE LLC
NPI 1457218406
Internal Medicine in Fort Wayne, IN

Active since January 09, 2026CLIA 15D2178632 · Waiver
7802 W JEFFERSON BLVD STE A, FORT WAYNE, IN 46804(260) 999-6924(260) 222-2844 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2026, Jan 9, 2026 (2 updates tracked since 2026).

About Ft Wayne Cardiac Integrative And Primary Care Llc NPPES

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

FT WAYNE CARDIAC INTEGRATIVE AND PRIMARY CARE LLC (NPI 1457218406) is a healthcare organization registered as an internal medicine in Fort Wayne, Indiana and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Subhash Reddy, Owner, as its authorized official.

NPPES Registry Identity

NPI1457218406
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFT WAYNE CARDIAC INTEGRATIVE AND PRIMARY CARE LLC
Location Address7802 W JEFFERSON BLVD STE AFort Wayne, IN 46804-4138
Mailing Address7802 W Jefferson Blvd Ste AFort Wayne, IN 46804-4138 · (260) 999-6924 · Fax (260) 222-2844
Phone(260) 999-6924
Fax(260) 222-2844
Organization SubpartNo
Authorized OfficialSubhash ReddyOwner · (260) 999-6924
Enumeration DateJanuary 9, 2026
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1457218406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
7802 W JEFFERSON BLVD STE A, Fort Wayne, IN 46804
Open in Google Maps ↗

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

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 15D2178632

Ft Wayne Cardiac, Integrative & Primary Care · Ft Wayne, IN
Active · expires Feb 5, 2028
CLIA Number15D2178632
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorSubhash K. Reddy
Laboratory Phone(260) 999-6924
Laboratory LocationFt Wayne Cardiac, Integrative & Primary Care7802 W Jefferson Blvd #a, Ft Wayne, IN 46804
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. JAMES D KIM MD
Ophthalmology
7802 W JEFFERSON BLVD STE A
FORT WAYNE, IN 46804
Allen County (260) 305-2822
DR. MOHAMED G GENDY M.D.
Ophthalmology
7802 W JEFFERSON BLVD STE A
FORT WAYNE, IN 46804
Allen County (260) 305-2822
INDIANA RETINA CENTER LLC
Ophthalmology (Retina Specialist)
7802 W JEFFERSON BLVD STE A
FORT WAYNE, IN 46804
Allen County (260) 305-2822
FORT WAYNE PRIMARY CARE LLC
Internal Medicine
7802 W JEFFERSON BLVD STE A
FORT WAYNE, IN 46804
Allen County (260) 999-6924

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 Ft Wayne Cardiac Integrative And Primary Care LLC's NPI number?

The NPI number for Ft Wayne Cardiac Integrative And Primary Care LLC is 1457218406. It was assigned to this organization in the NPPES registry on January 9, 2026.

Where is Ft Wayne Cardiac Integrative And Primary Care LLC located?

Ft Wayne Cardiac Integrative And Primary Care LLC is located at 7802 W Jefferson Blvd Ste A, Fort Wayne, IN 46804. The listed phone number is (260) 999-6924.

What is Ft Wayne Cardiac Integrative And Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ft Wayne Cardiac Integrative And Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2178632) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ft Wayne Cardiac Integrative And Primary Care LLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.