Foundation Surgery Affiliate of Fort Wayne, LLC
NPI 1144275629 · Ambulatory Surgical Clinic/Center · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Foundation Surgery Affiliate of Fort Wayne, LLC is a Ambulatory Surgical Clinic/Center organization in Fort Wayne, IN (NPI 1144275629).
Provider details
- NPI number
- 1144275629
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Lee-Hansen, Cfo(312) 388-0125
- License
- PENDING (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
549 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 80 | $402 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 77 | $524 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 77 | $594 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 68 | $435 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 54 | $797 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High Risk |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Parkview Southwest Surgery Center
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Frequently asked questions
- What is Foundation Surgery Affiliate of Fort Wayne, LLC's NPI number?
- Foundation Surgery Affiliate of Fort Wayne, LLC's National Provider Identifier (NPI) is 1144275629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Foundation Surgery Affiliate of Fort Wayne, LLC?
- Foundation Surgery Affiliate of Fort Wayne, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Foundation Surgery Affiliate of Fort Wayne, LLC located?
- Foundation Surgery Affiliate of Fort Wayne, LLC's practice location on file with NPPES is 8004 Carnegie Blvd., Fort Wayne, IN 46804-5785.
- What is Foundation Surgery Affiliate of Fort Wayne, LLC's phone number?
- The practice phone number listed in the NPPES registry for Foundation Surgery Affiliate of Fort Wayne, LLC is (260) 434-3600.
- Does Foundation Surgery Affiliate of Fort Wayne, LLC accept Medicare?
- Foundation Surgery Affiliate of Fort Wayne, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Foundation Surgery Affiliate of Fort Wayne, LLC?
- The authorized official listed on Foundation Surgery Affiliate of Fort Wayne, LLC's NPPES record is Jessica Lee-Hansen, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Foundation Surgery Affiliate of Fort Wayne, LLC's NPI active?
- Yes — Foundation Surgery Affiliate of Fort Wayne, LLC's NPI (1144275629) is active in the NPPES registry as of the last update on 2026-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.