Indiana Plastic Surgery Center, PC
NPI 1174861454 · Medical Specialty Clinic/Center · Fort Wayne, IN
Indiana Plastic Surgery Center, PC is a Medical Specialty Clinic/Center organization in Fort Wayne, IN (NPI 1174861454).
Provider details
- NPI number
- 1174861454
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Severinac, President(260) 489-0099
- License
- 01043388A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-22
- Last updated
- 2013-01-22
Frequently asked questions
- What is Indiana Plastic Surgery Center, PC's NPI number?
- Indiana Plastic Surgery Center, PC's National Provider Identifier (NPI) is 1174861454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indiana Plastic Surgery Center, PC?
- Indiana Plastic Surgery Center, PC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Indiana Plastic Surgery Center, PC located?
- Indiana Plastic Surgery Center, PC's practice location on file with NPPES is 10020 Dupont Circle Ct, Fort Wayne, IN 46825-1620.
- What is Indiana Plastic Surgery Center, PC's phone number?
- The practice phone number listed in the NPPES registry for Indiana Plastic Surgery Center, PC is (260) 489-0099.
- Who is the authorized official for Indiana Plastic Surgery Center, PC?
- The authorized official listed on Indiana Plastic Surgery Center, PC's NPPES record is Robert Severinac, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indiana Plastic Surgery Center, PC's NPI active?
- Yes — Indiana Plastic Surgery Center, PC's NPI (1174861454) is active in the NPPES registry as of the last update on 2013-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.