THREE RIVERS MEDICAL ASSOCIATES, LLC
NPI 1558460378
Internal Medicine - Nephrology in Fort Wayne, IN

Active since September 21, 2006
7910 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 402-7446(260) 435-7007 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Three Rivers Medical Associates, Llc NPPES

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

THREE RIVERS MEDICAL ASSOCIATES, LLC (NPI 1558460378) is a healthcare organization registered as a nephrology in Fort Wayne, Indiana and active in the NPI registry since September 2006. The organization lists Binoy Ouseph, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558460378
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameTHREE RIVERS MEDICAL ASSOCIATES, LLC
Location Address7910 W JEFFERSON BLVDFort Wayne, IN 46804-4159
Mailing Address2331 Ladue LaneFort Wayne, IN 46804 · (260) 402-7446 · Fax (260) 435-7007
Fax(260) 435-7007
Organization SubpartNo
Authorized OfficialBinoy OusephOffice Manager · (260) 402-7446
Enumeration DateSeptember 21, 2006
Last NPPES UpdateOctober 24, 2007
NPI 1558460378 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 · 01052976A
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.
7910 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 1

Medicare PIN247440IN

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

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.

Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Neurological Surgery
7910 W JEFFERSON BLVD, SUITE 200
FORT WAYNE, IN 46804
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7910 W JEFFERSON BLVD, SUITE 102
FORT WAYNE, IN 46804
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Colon & Rectal Surgery
7910 W JEFFERSON BLVD, SUITE 212
FORT WAYNE, IN 46804
Surgery
7910 W JEFFERSON BLVD, SUITE 200
FORT WAYNE, IN 46804

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 Three Rivers Medical Associates, LLC's NPI number?

The NPI number for Three Rivers Medical Associates, LLC is 1558460378. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Three Rivers Medical Associates, LLC located?

Three Rivers Medical Associates, LLC is located at 7910 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 402-7446.

What is Three Rivers Medical Associates, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Three Rivers Medical Associates, LLC was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.