Fort Wayne Integrative Medicine
NPI 1245686989 · Internal Medicine Physician · Fort Wayne, IN
Fort Wayne Integrative Medicine is a Internal Medicine Physician organization in Fort Wayne, IN (NPI 1245686989).
Provider details
- NPI number
- 1245686989
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vishaal Veerula, Medical Director(260) 475-0772
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2016-05-12
- Last updated
- 2018-04-18
Frequently asked questions
- What is Fort Wayne Integrative Medicine's NPI number?
- Fort Wayne Integrative Medicine's National Provider Identifier (NPI) is 1245686989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Wayne Integrative Medicine?
- Fort Wayne Integrative Medicine is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fort Wayne Integrative Medicine located?
- Fort Wayne Integrative Medicine's practice location on file with NPPES is 3919 W Jefferson Blvd, Fort Wayne, IN 46804-6811.
- What is Fort Wayne Integrative Medicine's phone number?
- The practice phone number listed in the NPPES registry for Fort Wayne Integrative Medicine is (260) 475-0772.
- Who is the authorized official for Fort Wayne Integrative Medicine?
- The authorized official listed on Fort Wayne Integrative Medicine's NPPES record is Vishaal Veerula, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Wayne Integrative Medicine's NPI active?
- Yes — Fort Wayne Integrative Medicine's NPI (1245686989) is active in the NPPES registry as of the last update on 2018-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.