Summit Pain Management – Physical Medicine & Rehabilitation Physician, NPI 1184976136
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Summit Pain Management
PO BOX 670
HUNTERTOWN, IN 467480670
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Mailing
7635 W JEFFERSON BLVD
FORT WAYNE, IN 468044133
Phone: (260) 748-3650
Type: Location
1314 E 7th St Ste 201
Auburn, IN 467062533
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
6811 Lima Rd
Fort Wayne, IN 468181145
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
330 N Wabash Ave Ste 410
Marion, IN 469522782
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
2124 Biomet Drive
Warsaw, IN 465827858
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
1721 MAGNAVOX WAY
FORT WAYNE, IN 468041537
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
2124 BIOMET DRIVE
WARSAW, IN 465827858
Phone: (260) 748-3650
Fax: (260) 748-3651
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: 2013-02-09
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 |
|---|---|---|---|---|
| O20130209000024 | O | Clinic/Group Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46748)
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