DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA, INC

MEDICARE: NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician

General Provider Information

NPI Number : 1578505814
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA, INC
Provider Business Mailing Address
First Line : 120 W 22ND ST STE 200
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1563
Country : US
Telephone Number : 630-573-5000
Fax Number :
Provider Business Practice Location Address
First Line : 11104 PARKVIEW CIRCLE DR STE 330
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1674
Country : US
Telephone Number : 260-494-3484
Fax Number : 260-969-0188
Authorized Official
Title or Position : PRESIDENT
Name : DR. MANISH M TANNA
Credential : MD
Telephone Number : 630-573-5000
Provider Enumeration Date : 06/12/2006
Last Update Date : 04/09/2026

Similar Medicare Providers

1003422858 — SHARON WORLTON NP
Practice Location Address:
11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN
46845-1674
Practice Phone: 260-494-3484
Practice Fax: 260-969-0188
1598792681 — JOHN PAUL RICHARD PA
Practice Location Address:
11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN
46845-1674
Practice Phone: 260-494-3484
Practice Fax: 260-969-0188
1073729125 — GARIMA GUPTA MD
Practice Location Address:
11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN
46845-1674
Practice Phone: 260-471-5114
Practice Fax: 260-417-5507
1801236716 — CAITLYN J. LUDWIG PA-C
Practice Location Address:
11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN
46845-1674
Practice Phone: 260-494-3484
Practice Fax:
1295307437 — MELLISSA HITE FNP-BC
Practice Location Address:
11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN
46845-1674
Practice Phone: 260-494-3484
Practice Fax:
1215672928 — JACOB C SHIVELY
Practice Location Address:
11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN
46845-1674
Practice Phone: 260-494-3484
Practice Fax: 260-969-0188

Directions to “NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.