Three Rivers Dermatology, LLC
NPI 1992991475 · Specialist · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Three Rivers Dermatology, LLC is a Specialist organization in Fort Wayne, IN (NPI 1992991475).
Provider details
- NPI number
- 1992991475
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Sassmannshausen, Ceo/Owner(260) 436-9696
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- Three Rivers Dermatology
- Doing business as
- Three Rivers Dermatology
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2020-06-12
- Certified
- 2020-06-12
Frequently asked questions
- What is Three Rivers Dermatology, LLC's NPI number?
- Three Rivers Dermatology, LLC's National Provider Identifier (NPI) is 1992991475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Three Rivers Dermatology, LLC?
- Three Rivers Dermatology, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Three Rivers Dermatology, LLC located?
- Three Rivers Dermatology, LLC's practice location on file with NPPES is 5650 Coventry Ln, Fort Wayne, IN 46804-7140.
- What is Three Rivers Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Three Rivers Dermatology, LLC is (260) 436-9696.
- Does Three Rivers Dermatology, LLC accept Medicare?
- Three Rivers Dermatology, 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 Three Rivers Dermatology, LLC?
- The authorized official listed on Three Rivers Dermatology, LLC's NPPES record is Jeffrey Sassmannshausen, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Three Rivers Dermatology, LLC's NPI active?
- Yes — Three Rivers Dermatology, LLC's NPI (1992991475) is active in the NPPES registry as of the last update on 2020-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.