Fort Wayne Cardiovascular Surgeon
NPI 1790718765ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Fort Wayne, IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Wayne, Indiana, registered in NPPES in July 2006. The authorized official on file is Douglas L. Gray, MD, President/Partner.
Overview
| NPI | 1790718765 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | 50000046A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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