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

Three Rivers Medical Associates, LLC

Organization Nephrology Physician · NPI 1558460378

Three Rivers Medical Associates, LLC is a Nephrology Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

7910 W Jefferson Blvd
Fort Wayne, IN 46804-4159
Phone: (260) 402-7446
Fax: (260) 435-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 01052976A (IN)

Record details

NPI number1558460378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Binoy Ouseph — Office Manager · (260) 402-7446
NPI enumeratedSeptember 21, 2006
Last updated in NPPESOctober 24, 2007
Mailing address2331 Ladue Lane, Fort Wayne, IN 46804

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