MRS. WING SUE MARIA REILLY
NPI 1770682163
Podiatrist - Foot Surgery in Fort Wayne, IN
About Mrs. Wing Sue Maria Reilly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. WING SUE MARIA REILLY (NPI 1770682163) is an individual foot surgery provider in Fort Wayne, Indiana, licensed in Illinois (016-003648) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Wing Sue Maria Reilly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
FORT WAYNE, IN 46805
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 Wing Sue Reilly's NPI number?
The NPI number for Wing Sue Reilly is 1770682163. It was assigned to this individual provider in the NPPES registry on September 22, 2006. The provider is also known as Dr. Wing Sue Maria Shiu D.P.M..
Where is Wing Sue Reilly located?
Wing Sue Reilly practices at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 426-5431.
What is Wing Sue Reilly's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Wing Sue Reilly enrolled in Medicare?
Yes. Wing Sue Reilly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Wing Sue Reilly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Wing Sue Maria Reilly · NPI 1770682163
Foot Surgery provider in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1770682163 (Entity type: Individual)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **State license:** 016-003648 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2121 LAKE AVE, Fort Wayne, IN 46805-5100
- **Phone:** (260) 426-5431
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1770682163) · Data from the CMS NPPES public registry.