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

Jonathan D Benson

Individual provider Internal Medicine Physician · NPI 1417913492

Jonathan D Benson is a Gastroenterology in Fort Wayne, Indiana. Qualified in 2002, 24 years ago. Practices with Blount Gastroenterology Assoc PC, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana and Tennessee.

Years since qualifying
24
Licensed in
IN, TN
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone: (260) 266-5230
Fax: (260) 266-5238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 01060622A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01060622A (IN)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 44963 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence 01060622A (IN)

Record details

NPI number1417913492
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Blount Gastroenterology Assoc Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne