Fort Wayne Primary Care LLC
NPI 1528707619 · Internal 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 Primary Care LLC is a Internal Medicine Physician organization in Fort Wayne, IN (NPI 1528707619).
Provider details
- NPI number
- 1528707619
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vishaal Veerula, Owner(260) 999-6924
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
4 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
- 2022-05-27
- Last updated
- 2022-05-27
- Certified
- 2022-05-27
Frequently asked questions
- What is Fort Wayne Primary Care LLC's NPI number?
- Fort Wayne Primary Care LLC's National Provider Identifier (NPI) is 1528707619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Wayne Primary Care LLC?
- Fort Wayne Primary Care LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fort Wayne Primary Care LLC located?
- Fort Wayne Primary Care LLC's practice location on file with NPPES is 7802 W Jefferson Blvd Ste a, Fort Wayne, IN 46804-4138.
- What is Fort Wayne Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Fort Wayne Primary Care LLC is (260) 999-6924.
- Does Fort Wayne Primary Care LLC accept Medicare?
- Fort Wayne Primary Care 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 Fort Wayne Primary Care LLC?
- The authorized official listed on Fort Wayne Primary Care LLC's NPPES record is Vishaal Veerula, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Wayne Primary Care LLC's NPI active?
- Yes — Fort Wayne Primary Care LLC's NPI (1528707619) is active in the NPPES registry as of the last update on 2022-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.