THREE RIVERS RADIOLOGY LLC NPI 1306286513

NPI Information

  • NPI: 1306286513
  • Provider Name: THREE RIVERS RADIOLOGY, LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Address: 6819 LIMA RD
    SUITE 200
    FORT WAYNE, IN
    ZIP 46818
  • Phone: (260) 407-6200

Map and Directions

Get Directions

NPI Details

THREE RIVERS RADIOLOGY, LLC is a vascular and interventional radiology radiology in Fort Wayne, IN. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. THREE RIVERS RADIOLOGY, LLC NPI is 1306286513. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6819 LIMA RD
SUITE 200
FORT WAYNE, IN
ZIP 46818-145
Phone: (260) 407-6200

The provider's authorized official is Carey Gross .
The authorized official title is President & Treasurer and has the following contact phone number (260) 467-9716.

The enumeration date for this NPI number is 7/2/2013 and was last updated on 7/2/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology99057753AINDIANANo
22081P2900XPhysical Medicine & RehabilitationPain Medicine99057753AINDIANANo
32085B0100XRadiologyBody Imaging99057753AINDIANANo
42085D0003XRadiologyDiagnostic Neuroimaging99057753AINDIANANo
52085N0700XRadiologyNeuroradiology99057753AINDIANANo
62085R0202XRadiologyDiagnostic Radiology99057753AINDIANANo
72085U0001XRadiologyDiagnostic Ultrasound99057753AINDIANANo
8208VP0014XPain MedicineInterventional Pain Medicine99057753AINDIANANo
92085R0204XRadiologyVascular & Interventional Radiology99057753AINDIANAYes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI