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

Individual provider Physician Assistant · NPI 1619691748

Sam Rhoades, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Practices with Nephrology Associates of Northern Indiana PC, a 64-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11104 Parkview Circle Dr Ste 330
Fort Wayne, IN 46845-1674
Phone: (260) 494-3484
Fax: (260) 969-0188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003816A (IN)

Record details

NPI number1619691748
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address120 W 22nd St, Oak Brook, IL 60523-1557

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nephrology Associates Of Northern Indiana Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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