MARCUS A JIMENEZ MD
NPI 1578655494
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Wayne, IN
About Marcus A Jimenez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCUS A JIMENEZ MD (NPI 1578655494) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Fort Wayne, Indiana, licensed in Indiana (01043881A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marcus A Jimenez 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.
Medicare Billing Reassignment
Medicare enrollment records show Marcus Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marcus Jimenez's NPI number?
The NPI number for Marcus Jimenez is 1578655494. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Marcus Jimenez located?
Marcus Jimenez practices at 7231 Engle Rd Ste 100, Fort Wayne, IN 46804. The listed phone number is (260) 432-7654.
What is Marcus Jimenez's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Marcus Jimenez enrolled in Medicare?
Yes. Marcus Jimenez 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.
Which organization bills Medicare for Marcus Jimenez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Jimenez reassigns Medicare benefits to Melmar LLC (Fort Wayne, IN). The 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 Marcus Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marcus Jimenez accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Marcus Jimenez 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 Marcus Jimenez was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Marcus A Jimenez, MD · NPI 1578655494
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1578655494 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 01043881A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 7231 ENGLE RD, STE 100, Fort Wayne, IN 46804
- **Phone:** (260) 432-7654 · **Fax:** (260) 432-7709
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Melmar LLC (NPI 1356544308, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1990
## Record status
- **NPPES last updated:** May 8, 2025
- **Other identifiers:** Medicaid 200146510 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1578655494) · Data from the CMS NPPES public registry.