RETINA INSTITUTE OF INDIANA, P.C.
NPI 1457492167
Ophthalmology in Fort Wayne, IN
About Retina Institute Of Indiana, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RETINA INSTITUTE OF INDIANA, P.C. (NPI 1457492167), doing business as Vitreoretinal Consultants Of Fort Wayne, P.c., is a healthcare organization registered as an ophthalmology in Fort Wayne, Indiana and active in the NPI registry since February 2007. The organization lists Gohar Azam Salam, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
Group Practice 1
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)
Retina Institute Of Indiana, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Retina Institute Of Indiana, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 15D2047924
Retina Institute Of Indiana · Fort Wayne, INFrequently 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 Retina Institute Of Indiana, P.C.'s NPI number?
The NPI number for Retina Institute Of Indiana, P.C. is 1457492167. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider was formerly known as Vitreoretinal Consultants Of Fort Wayne, P.C..
Where is Retina Institute Of Indiana, P.C. located?
Retina Institute Of Indiana, P.C. is located at 11188 Diebold Rd, Fort Wayne, IN 46845. The listed phone number is (260) 483-9500.
What is Retina Institute Of Indiana, P.C.'s specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Retina Institute Of Indiana, P.C. enrolled in Medicare?
Yes. Retina Institute Of Indiana, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Retina Institute Of Indiana, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Retina Institute Of Indiana, P.C., in Family Practice and Ophthalmology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Retina Institute Of Indiana, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list Retina Institute Of Indiana, P.C. 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 Retina Institute Of Indiana, P.C. was last updated on March 17, 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.
# Retina Institute Of Indiana, P.c. · NPI 1457492167
Ophthalmology organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1457492167 (Entity type: Organization)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Gohar Salam, OWNER
## Practice location
- **Address:** 11188 DIEBOLD RD, Fort Wayne, IN 46845-9662
- **Phone:** (260) 483-9500 · **Fax:** (260) 483-9511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Ophthalmology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2016
- **Other identifiers:** Other 17842 (IN); Medicaid 200522580A (IN); Medicare PIN 229700 (IN); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457492167) · Data from the CMS NPPES public registry.