MARK RUMANCIK MD
NPI 1467454470
Internal Medicine - Nephrology in Fort Wayne, IN

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330, FORT WAYNE, IN 46845(260) 494-3484 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Rumancik Md NPPES

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

MARK RUMANCIK MD (NPI 1467454470) is an individual nephrology provider in Fort Wayne, Indiana, licensed in Indiana (01041312A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains a secondary practice location in Hicksville.

NPPES Registry Identity

NPI1467454470
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMARK RUMANCIKCredential: MD
Location Address11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330Fort Wayne, IN 46845-1730
Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 575-5000
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1988
Enumeration DateAugust 10, 2005
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1467454470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in IN · 01041312A
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

11104 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

Secondary Practice Location 1

Location 1208 Columbus StHicksville, OH 43526-1250 · Phone (260) 494-3484 · Fax (260) 969-0188

Other Identifiers 4

Other000000095601IN · Bcbs
Medicaid100360480IN
Medicaid0929151OH
Other100082060IN · Medicaid Group Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Rumancik Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315028776
PECOS Enrollment IDI20100308000424, I20100310000349
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
162 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
128 services77 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
93 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
58 services41 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
47 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Bluffton Regional Medical Center

Acute Care Hospitals · Bluffton, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150075
Location303 S Main StBluffton, IN 46714 · Wells County
Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered (Nutrition, Renal)
11104 PARKVIEW CIRCLE DR, SUITE 330
FORT WAYNE, IN 46845
Internal Medicine (Critical Care Medicine)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR, SUITE 410
FORT WAYNE, IN 46845
Nurse Practitioner (Family)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845
Non-Pharmacy Dispensing Site
11104 PARKVIEW CIRCLE DR, SUITE 110
FORT WAYNE, IN 46845
Internal Medicine (Gastroenterology)
11104 PARKVIEW CIRCLE DR, SUITE 310
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845

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 Mark Rumancik's NPI number?

The NPI number for Mark Rumancik is 1467454470. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Mark Rumancik located?

Mark Rumancik practices at 11104 Parkview Circle Dr Entrance 11, Suite 330, Fort Wayne, IN 46845. The listed phone number is (260) 494-3484.

What is Mark Rumancik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mark Rumancik enrolled in Medicare?

Yes. Mark Rumancik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Rumancik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mark Rumancik 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.

Is Mark Rumancik affiliated with any hospitals?

According to CMS data, Mark Rumancik is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, Bluffton Regional Medical Center, Indiana University Health Jay, Inc. and Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Rumancik was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.