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DR. KELLY ELIZABETH KLINKER MD NPI 1033320064


NPI Information

NPI: 1033320064
Provider Name: DR. KELLY ELIZABETH KLINKER, MD
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual
Organization: PARKVIEW HEALTH SYSTEM INC

PECOS Registration: Yes

Address:
11104 PARKVIEW CIRCLE DR STE 320
FORT WAYNE, IN
ZIP 46845
Phone: (260) 266-5300
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DR. Kelly Elizabeth Klinker, MD is a colon rectal surgery in Fort Wayne, IN with 21 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Kelly Elizabeth Klinker, MD NPI is 1033320064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

11104 PARKVIEW CIRCLE DR STE 320
FORT WAYNE, IN
ZIP 46845-733
Phone: (260) 266-5300
Fax: (260) 266-5314

The NPI 1033320064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using an endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • Diagnostic examination of the anus using an endoscope (HCPCS:46600)
  • Removal of hemorrhoid by rubber banding (HCPCS:46221)

The enumeration date for this NPI number is 5/24/2007 and was last updated on 2/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal Surgery01066585AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200945020MEDICAIDINDIANA
2P00737804OTHERINDIANAR.R. MEDICARE
3000000621930OTHERINDIANAANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.