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NORTHEAST INDIANA UROLOGY, PC
NPI 1619920295
Urology in Fort Wayne, IN

Active since May 18, 2006
2512 E DUPONT RD, SUITE 100, FORT WAYNE, IN 46825(260) 436-6667(260) 469-7437 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Indiana Urology, Pc NPPES

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

NORTHEAST INDIANA UROLOGY, PC (NPI 1619920295) is a healthcare organization registered as an urology in Fort Wayne, Indiana and active in the NPI registry since May 2006. The organization lists John B Brinkman, President, as its authorized official.

NPPES Registry Identity

NPI1619920295
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNORTHEAST INDIANA UROLOGY, PC
Location Address2512 E DUPONT RD, SUITE 100Fort Wayne, IN 46825-1609
Mailing Address2512 E Dupont Rd, Suite 100Fort Wayne, IN 46825-1609 · (260) 436-6667 · Fax (260) 469-7437
Phone(260) 436-6667
Fax(260) 469-7437
Organization SubpartNo
Authorized OfficialJohn B BrinkmanPresident · (260) 436-6667
Enumeration DateMay 18, 2006
Last NPPES UpdateApril 9, 2013
✔ NPI 1619920295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2512 E DUPONT RD, Fort Wayne, IN 46825
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Other Identifiers 7

Medicaid0748972OH
Medicare PINK9096FL
Medicare PIN136140IN
Medicare PIN9928923OH
Medicaid100081380IN
Medicare PINCB9217IN
Medicare PINDE4202FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 12

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

GITA S SINGH MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
2512 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 436-6667
SARA L SPEITH NP
Nurse Practitioner
2512 E DUPONT RD, SUITE 200
FORT WAYNE, IN 46825
Allen County (260) 432-4400
THOMAS E KOERNER MD
Urology
2512 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 436-6667
THOMAS G NILL MD
Urology
2512 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 436-6667
ASSOCIATED SURGEONS AND PHYSICIANS
Obstetrics & Gynecology
2512 E DUPONT RD, SUITE 200
FORT WAYNE, IN 46825
Allen County (260) 432-4400
JEROME LUDWIG MD
Urology
2512 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 436-6667
PETER A. JAKACKI MD
Family Medicine
2512 E DUPONT RD, SUITE 210
FORT WAYNE, IN 46825
Allen County (260) 497-0084
JOHN T COWAN MD
Obstetrics & Gynecology
2512 E DUPONT RD, SUITE 200
FORT WAYNE, IN 46825
Allen County (260) 432-4400

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 Northeast Indiana Urology, PC's NPI number?

The NPI number for Northeast Indiana Urology, PC is 1619920295. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Northeast Indiana Urology, PC located?

Northeast Indiana Urology, PC is located at 2512 E Dupont Rd Suite 100, Fort Wayne, IN 46825. The listed phone number is (260) 436-6667.

What is Northeast Indiana Urology, PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

What insurance does Northeast Indiana Urology, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Northeast Indiana Urology, PC 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 Northeast Indiana Urology, PC was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.