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

Grant Elliot Mackinnon, MD

Individual provider Diagnostic Radiology Physician · NPI 1720666795

Grant Elliot Mackinnon, MD is a Diagnostic Radiology in Fort Wayne, Indiana. Graduated from Vanderbilt University School of Medicine in 2021, 5 years ago. Works from 3 locations. Licensed in Michigan.

Years since qualifying
5
Trained at
Vanderbilt University School of Medicine
Licensed in
MI
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160
Phone: (260) 435-7001
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 2401 W University Ave, Muncie, IN 47303-3428 — (765) 741-1095
  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 — (734) 936-4000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301509433 (MI)

Record details

NPI number1720666795
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address7221 Engle Rd Ste 220, Fort Wayne, IN 46804-2233

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fort Wayne