AYDIN T. KIZILISIK (MD) – Surgery Physician, NPI 1255415352
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
729 GENERAL SURGERY in IN
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Provider Addresses for AYDIN T. KIZILISIK (MD)
7910, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46804, United States
SUITE 200
FORT WAYNE, IN 468044159
Phone: (260) 435-6275
Fax: (260) 435-6279
Type: Location
Pointe Inverness Way, Covington Dells, Fort Wayne, Allen County, Indiana, 46804, United States
MEDPARTNERS, ATTN: BARB COPELAND
FORT WAYNE, IN 468047934
Phone: (260) 479-3514
Fax: (260) 479-3520
Type: Mailing
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: 2007-04-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070412000415 | I | General Surgery | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 410 | 104 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 359 | 122 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 334 | 142 | $0 |
| 17250 | Application of chemical to stop tissue regrowth in wound | 285 | 58 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 129 | 34 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| Family Practice, Peripheral Vascular Disease | FL | |
| Family Practice, Peripheral Vascular Disease | CO | |
| General Practice | CO | |
| Family Practice, Peripheral Vascular Disease | IN | |
| - | GA | |
| - | IN | |
| Nurse Practitioner | IL | |
| Family Practice, Peripheral Vascular Disease | IN | |
| General Surgery | IN |
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