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LUTHERAN MEDICAL GROUP LLC
NPI 1659669513
Durable Medical Equipment & Medical Supplies in Fort Wayne, IN

Active since July 13, 2011CLIA Certified · 3 labs
2516 E DUPONT RD, FORT WAYNE, IN 46825(260) 434-6076 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lutheran Medical Group Llc NPPES

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

LUTHERAN MEDICAL GROUP LLC (NPI 1659669513) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Wayne, Indiana and active in the NPI registry since July 2011. The organization holds 3 active CLIA laboratory certificates and lists Kristy Music, Director, as its authorized official.

NPPES Registry Identity

NPI1659669513
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLUTHERAN MEDICAL GROUP LLC
Location Address2516 E DUPONT RDFort Wayne, IN 46825-1608
Mailing AddressPo Box 4852Belfast, ME 04915-4852 · (877) 848-1463 · Fax (615) 925-4991
Phone(260) 434-6076
Organization SubpartNo
Authorized OfficialKristy MusicDirector · (877) 892-9815
Enumeration DateJuly 13, 2011
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1659669513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
2516 E DUPONT RD, Fort Wayne, IN 46825
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CLIA Laboratory Certificates CMS CLIA 3

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 15D0946859

Lutheran Medical Group, LLC · Fort Wayne, IN
Active · expires Jan 31, 2028
CLIA Number15D0946859
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorLucas Berghoff
Laboratory Phone(260) 497-0658
Laboratory LocationLutheran Medical Group, LLC2516 E Dupont Rd, Fort Wayne, IN 46825
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2168630

Lutheran Medical Group, LLC Dba Lutheran Health Physicians · Fort Wayne, IN
Active · expires Jul 2, 2027
CLIA Number15D2168630
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorGregory C. Dowling
Laboratory Phone(260) 458-3760
Laboratory LocationLutheran Medical Group, LLC Dba Lutheran Health Physicians2512 E Dupont Road, Suite 200, Fort Wayne, IN 46825
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2131782

Lutheran Medical Group Llc- D/B/A Lutheran Health Physicians · Fort Wayne, IN
Active · expires Jun 5, 2027
CLIA Number15D2131782
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorAllison B. Soldner
Laboratory Phone(260) 425-2725
Laboratory LocationLutheran Medical Group Llc- D/B/A Lutheran Health Physicians2514 E Dupont Road, Suite 220, Fort Wayne, IN 46825
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

MANOLO M. MANALO MD
Family Medicine
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 471-7197
JEAN D. ROSS NP
Nurse Practitioner
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 434-6076
CYNTHIA L. VANDERBOSCH M.D.
Family Medicine
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 471-7622
OLIVIA KAY WOENKHAUS PA
Physician Assistant
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 458-3045
EDNA M MANALO PA
Physician Assistant
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 471-7197
ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALISTS
Otolaryngology
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 490-8422
ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE
Physical Medicine & Rehabilitation
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 436-2416
BRIAN YORK
Family Medicine
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 458-3737

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 Lutheran Medical Group LLC's NPI number?

The NPI number for Lutheran Medical Group LLC is 1659669513. It was assigned to this organization in the NPPES registry on July 13, 2011.

Where is Lutheran Medical Group LLC located?

Lutheran Medical Group LLC is located at 2516 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 434-6076.

What is Lutheran Medical Group LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Lutheran Medical Group LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lutheran Medical Group LLC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.