Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Wayne Primary Care LLC

Organization Internal Medicine Physician · NPI 1528707619

Fort Wayne Primary Care LLC is an Internal Medicine Physician in Fort Wayne, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7802 W Jefferson Blvd Ste A
Fort Wayne, IN 46804-4138
Phone: (260) 999-6924
Fax: (260) 222-2844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1528707619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vishaal Veerula — Owner · (260) 999-6924
NPI enumeratedMay 27, 2022
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022
Mailing address7802 W Jefferson Blvd Ste A, Fort Wayne, IN 46804-4138

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