Midwest Anesthesia Associates – Anesthesiology Physician, NPI 1538159140
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Midwest Anesthesia Associates
PO BOX 633260
CINCINNATI, OH 452633260
Phone: (317) 802-6303
Fax: (317) 870-0499
Type: Mailing
5734, Coventry Lane, Liberty Hills, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468047141
Phone: (260) 436-7875
Fax: (260) 432-9812
Type: Location
6435 W JEFFERSON BLVD # 434
FORT WAYNE, IN 468046203
Phone: (260) 436-7875
Fax: (260) 432-9812
Type: Location
PO BOX 843603
DALLAS, TX 752843603
Phone: (972) 233-1999
Fax: (972) 233-3666
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: 2014-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (981 days ago).
Enrollment records
2
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20040720001562 | O | Clinic/Group Practice | IN | 2023-09-30 |
| O20140205001238 | O | Clinic/Group Practice | OH | TBD |
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 45263)
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