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

Isa S Canavati, MD

Individual provider Neurological Surgery Physician · NPI 1952308413

Isa S Canavati, MD is a Neurosurgery in Fort Wayne, Indiana. Qualified in 1979, 47 years ago. Practices with Allied Physicians Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
47
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 436-2416
Fax: (260) 436-6936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4105 Dicke Rd, Fort Wayne, IN 46804-6135 — (260) 234-5400

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 01035042A (IN)

Record details

NPI number1952308413
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2005
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Allied Physicians Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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