JOSEPH EAPEN (MD) – Internal Medicine Physician, NPI 1790757466

JOSEPH EAPEN (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01063289A (IN). The NPI Number for JOSEPH EAPEN (MD) is 1790757466

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH EAPEN (MD)
NPI
1790757466
Phone
(260) 432-2297
Address
7916 W Jefferson Blvd
Enumeration Date
6 February 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
6305829342
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20070523000311
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
jeapen320177@eCommunityDirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,517 INTERNAL MEDICINE in IN

Provider Addresses for JOSEPH EAPEN (MD)

  • 7916 W Jefferson Blvd

    Fort Wayne, IN 468044140

    Phone: (260) 432-2297

    Fax: (260) 479-2950

    Type: Location

  • 500, East 75th Street, Indianapolis, Indiana, 46240, United States

    INDIANAPOLIS, IN 462502890

    Phone: (317) 621-9312

    Fax: (317) 621-6920

    Type: Mailing

  • 9669 E 146TH ST STE 200

    NOBLESVILLE, IN 460605008

    Phone: (317) 621-6300

    Fax: (317) 621-6310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($192).

Total Amount

$317

General + Research + Ownership

Payments

15

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-05-23

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
I20070523000311IInternal MedicineINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes147105$0
99214Established patient office or other outpatient visit, 30-39 minutes11582$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8383$0
G0008Administration of influenza virus vaccine2929$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2525$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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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: 9032020490View full group profile

Reviews

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Frequently asked questions

What identifier follows JOSEPH EAPEN (MD) across health systems?
The NPI 1790757466 uniquely identifies JOSEPH EAPEN (MD) in U.S. healthcare data.
Does the public listing show JOSEPH EAPEN (MD) as active?
JOSEPH EAPEN (MD)'s NPI record reflects an active status in NPPES.
What services align with JOSEPH EAPEN (MD)'s listing?
JOSEPH EAPEN (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JOSEPH EAPEN (MD)?
The directory associates JOSEPH EAPEN (MD) with Fort Wayne, Indiana. Check all listed addresses for suites or satellite offices.
Can I export JOSEPH EAPEN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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