CARLOS MEJIA M.D.
NPI 1902427990
Internal Medicine in Fort Wayne, IN

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 672-6620(260) 672-6639 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 30, 2023, May 31, 2023, Nov 17, 2022 and 2 more (5 updates tracked since 2020).

About Carlos Mejia M.d. NPPES

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

CARLOS MEJIA M.D. (NPI 1902427990) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01089448A) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902427990
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARLOS MEJIACredential: M.D.
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 672-6639
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 30, 2020
Last NPPES UpdateAugust 30, 20235 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1902427990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01089448A
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 35.146299 (OH)
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carlos Mejia M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709203425
PECOS Enrollment IDI20230224001579
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
343 services123 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
84 services83 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services13 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Parkview Lagrange Hospital

Critical Access Hospitals · Lagrange, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151323
Location207 N Townline RdLagrange, IN 46761 · Lagrange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Clinical Medical Laboratory
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR, PSP HOSPITALIST
FORT WAYNE, IN 46845
Dietitian, Registered
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Surgery (Trauma Surgery)
11109 PARKVIEW PLAZA DR, TRAUMA UNIT
FORT WAYNE, IN 46845
Pathology (Anatomic Pathology & Clinical Pathology)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Psychologist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Family Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902427990, enumerated as an "individual" on April 30, 2020.

The provider is located at 11109 PARKVIEW PLAZA DR FORT WAYNE, IN 46845 and the phone number is (260) 672-6620.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and CareSource. Please consult your insurance carrier or call the provider to verify.

Carlos Mejia is affiliated with: PARKVIEW REGIONAL MEDICAL CENTER, PARKVIEW DEKALB HOSPITAL, PARKVIEW HUNTINGTON HOSPITAL, PARKVIEW NOBLE HOSPITAL and PARKVIEW LAGRANGE HOSPITAL.