Fort Wayne Medical Education Program
NPI 1184635153 · Family Medicine Physician · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fort Wayne Medical Education Program is a Family Medicine Physician organization in Fort Wayne, IN (NPI 1184635153).
Provider details
- NPI number
- 1184635153
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Harris, Chief Operating Officer(260) 423-2682
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Doing business as
- The Family Medicine Center
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2015-04-20
Frequently asked questions
- What is Fort Wayne Medical Education Program's NPI number?
- Fort Wayne Medical Education Program's National Provider Identifier (NPI) is 1184635153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Wayne Medical Education Program?
- Fort Wayne Medical Education Program is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fort Wayne Medical Education Program located?
- Fort Wayne Medical Education Program's practice location on file with NPPES is 750 Broadway, Fort Wayne, IN 46802-1412.
- What is Fort Wayne Medical Education Program's phone number?
- The practice phone number listed in the NPPES registry for Fort Wayne Medical Education Program is (260) 423-2675.
- Does Fort Wayne Medical Education Program accept Medicare?
- Fort Wayne Medical Education Program 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 Fort Wayne Medical Education Program?
- The authorized official listed on Fort Wayne Medical Education Program's NPPES record is Kimberly Harris, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Wayne Medical Education Program's NPI active?
- Yes — Fort Wayne Medical Education Program's NPI (1184635153) is active in the NPPES registry as of the last update on 2015-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.