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DR. WILLIAM A LOE JR. M.D.
NPI 1528024783
Surgery - Pediatric Surgery in Fort Wayne, IN

Active since April 25, 2006PECOS Enrolled
11123 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845(260) 425-6100(260) 425-6105 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2024, Apr 25, 2022, Dec 9, 2020 and 1 more (4 updates tracked since 2018).

About Dr. William A Loe Jr. M.d. NPPES

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

DR. WILLIAM A LOE JR. M.D. (NPI 1528024783) is an individual pediatric surgery provider in Fort Wayne, Indiana, licensed in Florida (ME111827) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528024783
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. WILLIAM A LOE JR.Credential: M.D.
Location Address11123 PARKVIEW PLAZA DR STE 200Fort Wayne, IN 46845
Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703
Phone(260) 425-6100
Fax(260) 425-6105
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateJanuary 16, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1528024783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in FL · ME111827✔ Licensed in LA · 016509✔ Licensed in SC · 52366✔ Licensed in TN · 62296✔ Licensed in IN · 01079883A
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
11123 PARKVIEW PLAZA DR STE 200, Fort Wayne, IN 46845
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17777 Hennessy Blvd, Suite 212Baton Rouge, LA 70808-4300 · Phone (225) 769-2295 · Fax (225) 769-2297
Location 29 Richland Medical Park Dr Ste 500Columbia, SC 29203-6870 · Phone (803) 434-4555 · Fax (803) 434-4599

Other Identifiers 1

Medicaid1330035LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, CareSource, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William A Loe Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show William Loe reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health Medical Group-Midlands
535 mi
Interventional Cardiology
300 PALMETTO HEALTH PKWY STE 400
Columbia, SC 29212
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1003307166 (803) 765-0871
Usa Health Physician Billing Services LLC
742 mi
Emergency Medicine
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 857 clinicians in this Medicare group
NPI 1285292912 (251) 470-7300
Florida Hospital Medical Group Inc
897 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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

Other Providers at the Same Location NPPES 8

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

VIMAL JAYSWAL MD
Pediatrics (Pediatric Cardiology)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
ALDA E. TAUBE
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
PAUL T. STOCKMANN M.D.
Surgery (Pediatric Surgery)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
DENISE A GILHAM NP.
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
DR. EDGARDO D RIVERA-RIVERA M.D.
Pediatrics (Pediatric Gastroenterology)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
ELAINE BUCHMEIER RD, LD
Dietitian, Registered
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
SAMUEL THOMAS BOSTON M.D.
Pediatrics (Pediatric Gastroenterology)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
ROBYN D SCHMUCKER M.D.
Pediatrics (Pediatric Infectious Diseases)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100

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 William Loe's NPI number?

The NPI number for William Loe is 1528024783. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is William Loe located?

William Loe practices at 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845. The listed phone number is (260) 425-6100.

What is William Loe's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is William Loe enrolled in Medicare?

Yes. William Loe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for William Loe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Loe reassigns Medicare benefits to 3 organizations: Prisma Health Medical Group-Midlands (Columbia, SC), Usa Health Physician Billing Services LLC (Mobile, AL) and Florida Hospital Medical Group Inc (Orlando, FL). Each 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 William Loe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Loe accept?

Health plans from BlueCross BlueShield of South Carolina, CareSource and Oscar Health Plan, Inc. list William Loe 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 William Loe was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.