DR. CYNTHIA GANNON MD
NPI 1649366360
Family Medicine in Fort Wayne, IN
About Dr. Cynthia Gannon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CYNTHIA GANNON MD (NPI 1649366360) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01042254A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Cynthia Gannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Cynthia Gannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hinsdale, IL 60521
- Reassigned Medicare billing, Indiana enrollment
- 19 clinicians in this Medicare group
Englewood, CO 80110
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Vohra Wound Physicians Of The West PC
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46802 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 8
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 Cynthia Gannon's NPI number?
The NPI number for Cynthia Gannon is 1649366360. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Cynthia Gannon located?
Cynthia Gannon practices at 436 E Washington Blvd, Fort Wayne, IN 46802. The listed phone number is (260) 264-7711.
What is Cynthia Gannon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cynthia Gannon enrolled in Medicare?
Yes. Cynthia Gannon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Cynthia Gannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Gannon reassigns Medicare benefits to 2 organizations: Illinois Post-Acute Medical Services 1 PC (Hinsdale, IL) and Vohra Wound Physicians Of The West, P.C. (Englewood, CO). 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 Cynthia Gannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Cynthia Gannon was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Dr. Cynthia Gannon, MD · NPI 1649366360
Family Medicine physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1649366360 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 01042254A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 436 E WASHINGTON BLVD, Fort Wayne, IN 46802-3210
- **Phone:** (260) 264-7711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Illinois Post-Acute Medical Services 1 PC (NPI 1952830853, Hinsdale, IL); Vohra Wound Physicians Of The West, P.C. (NPI 1205176096, Englewood, CO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649366360) · Data from the CMS NPPES public registry.