INPHYNET PRIMARY CARE PHYSICIANS MIDWEST, S.C. – Physician Assistant, NPI 1528090610
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INPHYNET PRIMARY CARE PHYSICIANS MIDWEST, S.C.
7950 W JEFFERSON BLVD
FORT WAYNE, IN 468044140
Phone: (260) 435-2699
Type: Location
Terre Haute Regional Hospital, 3901, South 7th Street, Terre Haute, Vigo County, Indiana, 47802, United States
TERRE HAUTE, IN 478025709
Phone: (812) 232-0021
Type: Location
Cincinnati Open Box Outlet, Applegate Avenue, Cheviot, Hamilton County, Ohio, 45211, United States
CINCINNATI, OH 452630001
Phone:
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: 2005-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20050525001352 | O | Clinic/Group Practice | IN | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 46804)
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