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

Kanika Jaggi, MD

Individual provider Family Medicine Physician · NPI 1073954962

Kanika Jaggi, MD is a Family Practice in Fort Wayne, Indiana. Qualified in 2013, 13 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
13
Licensed in
IN, MI
In the registry since
2013
Specialties on file
3
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

5717 S Anthony Blvd Ste 300
Fort Wayne, IN 46806-3386
Phone: (260) 425-2690
Fax: (260) 425-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01076756A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301103736 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301103736 (MI)

Record details

NPI number1073954962
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2013
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address5717 S Anthony Blvd, Suite 300, Fort Wayne, IN 46806-3386

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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