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

Samuel R Eby, MD

Individual provider Nephrology Physician · NPI 1043262447

Samuel R Eby, MD is a Nephrology Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

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

7836 W Jefferson Blvd Ste 100
Fort Wayne, IN 46804-4165
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

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 01032985 (IN)

Record details

NPI number1043262447
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020
Mailing address120 W 22nd St Ste 200, Oak Brook, IL 60523-1563

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