KHIN MAR OO MD
NPI 1790786127
Family Medicine - Adult Medicine in Fort Wayne, IN

Q: What is Khin Oo's NPI number?

The NPI number for Khin Oo is 1790786127. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Khin Oo's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Khin Oo was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 09, 2005PECOS Enrolled

2121 LAKE AVE, FORT WAYNE, IN 46805(260) 426-5431(260) 421-1092 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Khin Mar Oo Md NPPES

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

KHIN MAR OO MD (NPI 1790786127) is an individual adult medicine provider in Fort Wayne, Indiana, licensed in Indiana (01044410A) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790786127

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameKHIN MAR OOCredential: MD

Location Address2121 LAKE AVEFort Wayne, IN 46805-5100

Mailing Address2121 Lake AveFort Wayne, IN 46805-5100 · (260) 426-5431 · Fax (260) 421-1092

Phone(260) 426-5431

Fax(260) 421-1092

Sole ProprietorNo

Enumeration DateAugust 9, 2005

Last NPPES UpdateMay 9, 2013

✔ NPI 1790786127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in IN · 01044410A

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

2121 LAKE AVE, Fort Wayne, IN 46805

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Other Identifiers 6

Medicare ID-Type Unspecified191560JIN

Other110123397IN · Railroad Medicare

Other000000081125IN · Anthem

Medicare UPING29123IN

Other6664IL · Physicians Health Plan

Medicare ID-Type Unspecified200089420IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khin Mar Oo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TAMMY MOEHLE

Registered Nurse (Oncology)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. CALEB ANDREW MOSSBURG PHARMD

Pharmacist

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. ASHLEY M FULTON PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

HANNAH DULINSKY RN

Registered Nurse (Home Health)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 460-1445

DANIELLE SCHULTZ

Registered Nurse

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. IAN H. COOK M.D.

Surgery

2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER
FORT WAYNE, IN 46805

Allen County (260) 426-5431

SCOTT KRUSE

Social Worker (Clinical)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

MONICA JANE HALL

Registered Nurse (General Practice)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 456-0543

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 Khin Oo's NPI number?

The NPI number for Khin Oo is 1790786127. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Khin Oo located?

Khin Oo practices at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 426-5431.

What is Khin Oo's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Khin Oo enrolled in Medicare?

Yes. Khin Oo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khin Oo was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.