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

Peter A. Jakacki, MD

Individual provider Family Medicine Physician · NPI 1669463089

Peter A. Jakacki, MD is a Family Practice in Fort Wayne, Indiana. Graduated from Indiana University School of Medicine in 1998, 28 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
28
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2512 E Dupont Rd Ste 210
Fort Wayne, IN 46825-1609
Phone: (260) 497-0084
Fax: (260) 484-2859
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01052452A (IN)

Record details

NPI number1669463089
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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