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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: August 09, 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
Phone(260) 672-6550
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
Open in Google Maps ↗

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.

CARA E WALKER APN
Nurse Practitioner (Women's Health)
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Allen County (260) 422-7455
AMANDA RINGWOOD
Nurse Practitioner
11123 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 373-5830
STARR NEWMAN P.A.
Physician Assistant
11123 PARKVIEW PLAZA DR, # 102
FORT WAYNE, IN 46845
Allen County (260) 483-0688
WIELAND & ASSOCIATES, INC.
Psychologist
11123 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 46845
Allen County (260) 672-6510
KELSEA KAY LEROSE NP
Nurse Practitioner
11123 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 425-6650
FORT WAYNE CARDIOVASCULAR ASSOCIATES
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11123 PARKVIEW PLAZA DR, SUITE 202
FORT WAYNE, IN 46845
Allen County (260) 483-6448
JOHN E DRAKE D.O.
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Allen County (260) 422-7455
MRS. NANCY SUE HINTON NP
Nurse Practitioner (Adult Health)
11123 PARKVIEW PLAZA DR, SUITE 206
FORT WAYNE, IN 46845
Allen County (260) 266-2020

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 Kathleen Bohnke's NPI number?

The NPI number for Kathleen Bohnke is 1801870639. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Kathleen Bohnke located?

Kathleen Bohnke practices at 11123 Parkview Plaza Dr Suite 106, Fort Wayne, IN 46845. The listed phone number is (260) 672-6550.

What is Kathleen Bohnke's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kathleen Bohnke was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.