JOHN ADDO (MD) – Internal Medicine Physician, NPI 1922063189

JOHN ADDO (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. 01044290A (IN). The NPI Number for JOHN ADDO (MD) is 1922063189

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ADDO (MD)
NPI
1922063189
Phone
(260) 425-3100
Address
2622 LAKE AVE
Enumeration Date
19 April 2006
Last Update Date
23 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604346076
Graduation Year
1988 (38 years ago)
PAC ID
8123163391
Group Practice PAC ID
4981751617
Professional Enrollment ID
I20100227000090
Address ID
IN468251608FO2516XRDXX400
Telehealth
Yes

Contacts

Secure Messaging
john.addo@lutheranhealthnetwork.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

3,517 INTERNAL MEDICINE in IN

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Provider Addresses for JOHN ADDO (MD)

  • 2622, Lake Avenue, Fort Wayne, Allen County, Indiana, 46805, United States

    FORT WAYNE, IN 468055410

    Phone: (260) 425-3100

    Fax: (260) 425-3604

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,161.

Total Amount is formed as General ($1,161) + Research ($0) + Ownership ($0) = $1,161.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($220).

Total Amount

$1,161

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2010-02-27

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
I20100227000090IInternal 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
99214Established patient office or other outpatient visit, 30-39 minutes282112$0
99213Established patient office or other outpatient visit, 20-29 minutes9264$0
36415Insertion of needle into vein for collection of blood sample6849$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6565$0
80053Blood test, comprehensive group of blood chemicals5344$0
View full utilization report →

Insurance plans in this area (ZIP 46805)

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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: 4981751617View full group profile
NameSpecialtyState
Infectious DiseaseIN
-IN
Family PracticeIN
Nurse PractitionerIN
U R O L O G YMI
Internal MedicineIN
-IN
Nurse PractitionerIN
Cardiovascular Disease (Cardiology)IN
Family PracticeIN

Reviews

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Frequently asked questions

Is JOHN ADDO (MD) listed with a National Provider Identifier?
Yes — JOHN ADDO (MD) has NPI 1922063189 on file in the registry.
Is JOHN ADDO (MD) shown as active in public data?
Registry records indicate JOHN ADDO (MD) maintains an active NPI.
What clinical focus is listed for JOHN ADDO (MD)?
At a glance, JOHN ADDO (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN ADDO (MD)?
Travel planning: use Fort Wayne, Indiana as the reference point for JOHN ADDO (MD), then confirm.
Does JOHN ADDO (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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