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

Richard K Niccum, MD

Individual provider Emergency Medicine Physician · NPI 1417907122

Richard K Niccum, MD is an Emergency Medicine Physician in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
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

2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01037769A (IN)

Record details

NPI number1417907122
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 11, 2006
Last updated in NPPESMay 22, 2013

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