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

Benjamin Joel Koerner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104446376

Benjamin Joel Koerner is an Orthopedic Surgery in Fort Wayne, Indiana. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2020, 6 years ago. Practices with Orthopaedics Northeast PC, a 79-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
IN
In the registry since
2020
Specialties on file
2

Practice location Address checks out

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (604) 848-5512
Fax: (260) 482-5060
Show map & directions

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

Additional practice locations (2)

  • 8202 Glencarin Blvd Ste 300, Fort Wayne, IN 46804-5783 — (260) 484-8551
  • 11136 Parkview Circle Dr, Fort Wayne, IN 46845-1730 — (260) 484-8551

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 02008273A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104446376
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2020
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address5052 N Clinton St, Fort Wayne, IN 46825-5822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2020 (6 years in practice)
Group practice Orthopaedics Northeast Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Wayne