KATHLEEN D. BOHNKE M.D.
NPI 1801870639
Pediatrics in Fort Wayne, IN

Active since December 05, 2005
81.23/100
CMS Quality Rating
11123 PARKVIEW PLAZA DR, SUITE 106, FORT WAYNE, IN 46845(260) 672-6550(260) 672-6559 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2022, Nov 9, 2022 (2 updates tracked since 2022).

About Kathleen D. Bohnke M.d. NPPES

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

KATHLEEN D. BOHNKE M.D. (NPI 1801870639) is an individual pediatrics provider in Fort Wayne, Indiana, licensed in Indiana (01049000A) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1801870639
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHLEEN D. BOHNKECredential: M.D.
Location Address11123 PARKVIEW PLAZA DR, SUITE 106Fort Wayne, IN 46845-1707
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 672-6559
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
NPI 1801870639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IN · 01049000A
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01049000A (IN)
11123 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Other Identifiers 7

Other00002092719 02United Healthcare
Other3937240024IN · Medicare Dmepos
Other7762243Aetna
Medicaid200342340IN
Other12182IN · Physicians Health Plan
Other3937240021IN · Medicare Dmepos
Other000000200308IN · Anthem

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

Clinic/Center (Medical Specialty)
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 204
FT WAYNE, IN 46845
Counselor (Mental Health)
11123 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 46845
Pediatrics (Pediatric Infectious Diseases)
11123 PARKVIEW PLAZA DR, STE # 102
FORT WAYNE, IN 46845
Physician Assistant
11123 PARKVIEW PLAZA DR, # 102
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11123 PARKVIEW PLAZA DR, SUITE 202
FORT WAYNE, IN 46845
Specialist
11123 PARKVIEW PLAZA DR, SUITE 2
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801870639, enumerated as an "individual" on December 05, 2005.

The provider is located at 11123 PARKVIEW PLAZA DR SUITE 106 FORT WAYNE, IN 46845 and the phone number is (260) 672-6550.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare, Medicaid, Aetna and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.