Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285976571 Individual Practitioner Male Practitioner

Dr. Benjamin Joseph Grandy , DO

Emergency Medicine • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Grandy, DO is a registered healthcare professional specializing in Emergency Medicine in Fort Wayne, IN. Practice services are available at 7950 W JEFFERSON BLVD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7950 W Jefferson Blvd

Fort Wayne, IN 46804

Telephone 2604357001
Associated Practice Facility / Clinic
🏢 Iom Health System Lp Facility NPI 1306897335

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.6 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
102 Specialists

Practicing in Fort Wayne, IN (1348 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
206 204 $1352.26 $160.86
99284 Emergency department visit with moderate level of medical decision making
42 41 $934.21 $111.09
99291 Critical care, first 30-74 minutes
28 28 $1653.79 $195.11

Medical Specialties & State Licenses

CMS Verified: 2026-01-02
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IN 02005096A

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0245549 (OH)
Medicaid State Provider ID
300004384 (IN)

Secondary Practice Locations

7950 W Jefferson Blvd

Fort Wayne, IN 46804

Phone: 2604357001

1800 Orleans St

Baltimore, MD 212870010

Phone: 4105028879

410 Pilgrim Blvd

Hartford City, IN 473481382

Phone: 7653480300

500 W Votaw St

Portland, IN 473711322

Phone: 2607267131

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Anuradha Bommakanti , MD

Internal Medicine - Pulmonary Disease

NPI 1003265455

Doctor of Medicine (M.D.)

Dr. Vaneska Bottino Da Costa , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1003292525

Doctor of Medicine (M.D.)

Jacqueline Shepard

Physician Assistant

NPI 1003686908
Dr. Bruce Sowers , MD

Emergency Medicine

NPI 1053411413

Doctor of Medicine (M.D.)

Ethyn Dust

Physician Assistant

NPI 1073499620
Dr. Jyotshal Ghimire , DO

Internal Medicine

NPI 1083316814

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2026

Emergency Medicine (License #02005096A in IN)

📍
Updated Business Mailing Address March 27, 2020

Registered at 250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 462194959 (Tel: 3179623834)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2020

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location March 06, 2019

Registered at 7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804 (Tel: 2604357001)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2019

Emergency Medicine (License #02005096A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active October 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2017

Registered at 7950 W JEFFERSON BLVD, FORT WAYNE, IN 468044140 (Tel: 2604357001)

📍
Updated Business Mailing Address October 06, 2017

Registered at 10343 DAWSONS CREEK BLVD STE A, FORT WAYNE, IN 468251906 (Tel: 2602039602)

👤
Provider Name / Credentials Updated October 06, 2017

Recorded as BENJAMIN GRANDY, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2017

Emergency Medicine (License #02005096A in IN)

NPI Profile Active July 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2013

Registered at 1800 ORLEANS ST, BALTIMORE, MD 212870010 (Tel: 4105028879)

📍
Updated Business Mailing Address July 15, 2013

Registered at 1830 E MONUMENT ST, BALTIMORE, MD 212870020 (Tel: 4105028879)

👤
Provider Name / Credentials Updated July 15, 2013

Recorded as BENJAMIN GRANDY, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Benjamin Grandy. Be the first to share your experience!

Sign in to leave a review for Dr. Benjamin Grandy

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1285976571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2013
Last Update: January 02, 2026
Sole Proprietor: No

Mailing Address

250 N Shadeland Ave Ste 200

Indianapolis, IN 462194959

Phone: 3179623834

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.