ANTHONY DZIGBORDI – Certified Registered Nurse Anesthetist, NPI 1003517954

ANTHONY DZIGBORDI is a healthcare provider. based in Fort wayne, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 28233741A (IN). The NPI Number for ANTHONY DZIGBORDI is 1003517954

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY DZIGBORDI
NPI
1003517954
Phone
Not provided
Address
5052 N CLINTON ST
Enumeration Date
16 March 2023
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604848551
Graduation Year
2023 (3 years ago)
PAC ID
9739547282
Group Practice PAC ID
8820351463
Professional Enrollment ID
I20230615002113
Address ID
IN468255886FO5050XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for ANTHONY DZIGBORDI

  • 5052 N CLINTON ST

    FORT WAYNE, IN 468255822

    Phone:

    Type: Mailing

  • 5050 N CLINTON ST

    FORT WAYNE, IN 468255886

    Phone: (260) 484-8551

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230615002113ICertified Registered Nurse Anesthetist (Crna)INTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 46825)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820351463View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN

Reviews

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Frequently asked questions

How do payers reference ANTHONY DZIGBORDI?
For ANTHONY DZIGBORDI, use NPI 1003517954 as the unique 10-digit identifier.
Active or inactive — what applies to ANTHONY DZIGBORDI?
You should see ANTHONY DZIGBORDI as active in CMS-hosted NPPES data.
What expertise is attributed to ANTHONY DZIGBORDI?
ANTHONY DZIGBORDI's specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Indiana is ANTHONY DZIGBORDI registered?
Use Fort Wayne, Indiana as the headline location for ANTHONY DZIGBORDI here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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