Look up the most recent NPI and PECOS records

Adrian L Camitan

Internal Medicine

Allopathic & Osteopathic Physicians

11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701

PECOS Enrollment

This provider is enrolled in PECOS as ADRIAN CAMITAN.

Based on the most recent information from CMS, provider Adrian L Camitan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1710234851
Provider Type
Individual
Full Name
Camitan, Adrian L
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/8/2012
Last Updated
10/3/2022

Contact Information

Practice Location

11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701

(260) 672-6620

(260) 672-6639

Mailing Location

11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 01072118A Indiana
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 01072118A Indiana

Adrian L Camitan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Bhandari, Birat

Zehner, Nicholas August

Acharya, Anamol

Neupane, Arpana

Auriti, Amber

Sorg, Kelli A

Uprety, Alok

Maghari, Ibrahim

Sinha, Ankur

Dhaliwal, Arvind