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LUTHERAN MEDICAL GROUP LLC
NPI 1710275664
Durable Medical Equipment & Medical Supplies in Fort Wayne, IN

Active since July 13, 2011CLIA 15D2167672 · Waiver
3534 BROOKLYN AVE, FORT WAYNE, IN 46809(260) 432-2297 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 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 1710275664) 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 a CLIA Waiver certificate valid through June 11, 2027 and lists Kristy Music, Director, as its authorized official.

NPPES Registry Identity

NPI1710275664
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLUTHERAN MEDICAL GROUP LLC
Location Address3534 BROOKLYN AVEFort Wayne, IN 46809-1361
Mailing AddressPo Box 4852Belfast, ME 04915-4852 · (877) 848-1463 · Fax (615) 925-4991
Phone(260) 432-2297
Organization SubpartNo
Authorized OfficialKristy MusicDirector · (877) 892-9815
Enumeration DateJuly 13, 2011
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1710275664 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.
3534 BROOKLYN AVE, Fort Wayne, IN 46809
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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 15D2167672

Lutheran Medical Group, LLC (dba Lutheran Health Physicians) · Fort Wayne, IN
Active · expires Jun 11, 2027
CLIA Number15D2167672
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorDavid S. Mohan
Laboratory Phone(260) 747-6171
Laboratory LocationLutheran Medical Group, LLC (dba Lutheran Health Physicians)3534 Brooklyn Avenue, Fort Wayne, IN 46809
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

MR. DAVID L KUHN PT
Physical Therapist
3534 BROOKLYN AVE
FORT WAYNE, IN 46809
Allen County (260) 478-5230
BROOKLYN MEDICAL ASSOCIATES LLC
Family Medicine
3534 BROOKLYN AVE
FORT WAYNE, IN 46809
Allen County (260) 747-6171
MARION MELCHER DPT
Physical Therapist
3534 BROOKLYN AVE
FORT WAYNE, IN 46809
Allen County (260) 478-5230
ERIN L. SHAW NP
Nurse Practitioner (Family)
3534 BROOKLYN AVE
FORT WAYNE, IN 46809
Allen County (260) 432-2297
MRS. KARENA DIANE SCHROEDER DPT
Physical Therapist
3534 BROOKLYN AVE
FORT WAYNE, IN 46809
Allen County (260) 478-5230
MARIA THERESA A. CABE MD
Family Medicine
3534 BROOKLYN AVE
FORT WAYNE, IN 46809
Allen County (260) 478-5180
JUSTINA M GIROD MD
Family Medicine
3534 BROOKLYN AVE
FORT WAYNE, IN 46809
Allen County (260) 478-5250
DAVID S. MOHAN MD
Family Medicine
3534 BROOKLYN AVE
FORT WAYNE, IN 46809
Allen County (260) 478-5130

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 1710275664. 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 3534 Brooklyn Ave, Fort Wayne, IN 46809. The listed phone number is (260) 432-2297.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2167672) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.