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PEDIATRIC ASSOCIATES INC
NPI 1659375079
Pediatrics in Fort Wayne, IN

Active since June 13, 2005CLIA 15D0358022 · Waiver
7910 W JEFFERSON BLVD, STE 201, FORT WAYNE, IN 46804(260) 436-3789(260) 436-2703 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Associates Inc NPPES

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

PEDIATRIC ASSOCIATES INC (NPI 1659375079) is a healthcare organization registered as a pediatrics in Fort Wayne, Indiana and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists David A Rusk, President, as its authorized official.

NPPES Registry Identity

NPI1659375079
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES INC
Location Address7910 W JEFFERSON BLVD, STE 201Fort Wayne, IN 46804-4159
Mailing Address7910 W Jefferson Blvd, Ste 201Fort Wayne, IN 46804-4159 · (260) 436-3789 · Fax (260) 436-2703
Phone(260) 436-3789
Fax(260) 436-2703
Organization SubpartNo
Authorized OfficialDavid A RuskPresident · (260) 436-3789
Enumeration DateJune 13, 2005
Last NPPES UpdateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1659375079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01025325A
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7910 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Identifiers 1

Medicaid100049720AIN

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0358022

Pediatric Associates Inc · Fort Wayne, IN
Active · expires May 30, 2028
CLIA Number15D0358022
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorDr. Andrew P. Landrigan
Laboratory Phone(260) 436-3789
Laboratory LocationPediatric Associates Inc7910 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. AARON J SACKETT MD
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Allen County (260) 436-3789
ALLIED PHYSICIANS INC., D/B/A FORT WAYNE NEUROSURGERY
Neurological Surgery
7910 W JEFFERSON BLVD, SUITE 200
FORT WAYNE, IN 46804
Allen County (260) 436-2416
DR. MARY PAT VEERKAMP MD
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Allen County (260) 436-3789
BRUCE A. HOOK MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7910 W JEFFERSON BLVD, SUITE 102
FORT WAYNE, IN 46804
Allen County (260) 436-2424
DR. STEVEN J COHEN MD
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Allen County (260) 436-3789
DR. JENNIFER L LANDRIGAN MD
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Allen County (260) 436-3789
NORTHEAST INDIANA COLON RECTAL SURGEONS, P.C.
Colon & Rectal Surgery
7910 W JEFFERSON BLVD, SUITE 212
FORT WAYNE, IN 46804
Allen County (260) 489-8898
AYDIN T. KIZILISIK MD
Surgery
7910 W JEFFERSON BLVD, SUITE 200
FORT WAYNE, IN 46804
Allen County (260) 435-6275

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 Pediatric Associates Inc's NPI number?

The NPI number for Pediatric Associates Inc is 1659375079. It was assigned to this organization in the NPPES registry on June 13, 2005.

Where is Pediatric Associates Inc located?

Pediatric Associates Inc is located at 7910 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804. The listed phone number is (260) 436-3789.

What is Pediatric Associates Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Associates Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0358022) is associated with this NPI, valid through May 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Associates Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Pediatric Associates Inc 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 Pediatric Associates Inc was last updated on April 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.