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

Nova Physician Group PLLC

Organization Primary Care Clinic/Center · NPI 1528815396

Nova Physician Group PLLC is a Primary Care Clinic/Center in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

436 E Washington Blvd
Fort Wayne, IN 46802-3210
Phone: (260) 298-6240
Fax: (206) 474-3157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1528815396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrence Morton — Sr. Medical Director · (773) 733-9730
NPI enumeratedMay 1, 2024
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address30 W Monroe St Ste 1200, Chicago, IL 60603-2420

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