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Active NPI 1285437491 Individual Practitioner Female Practitioner

Eithar Elias Shabbo

Internal Medicine • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Eithar Shabbo is a registered healthcare professional specializing in Internal Medicine in Fort Wayne, IN. Practice services are available at 2200 RANDALLIA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 Randallia Dr

Fort Wayne, IN 468054638

Telephone 2603737765
Associated Practice Facility / Clinic
🏢 Parkview Hospital, Inc. Facility NPI 1710993761

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
219 Specialists

Practicing in Fort Wayne, IN (2204 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-04
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 11024165A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. David Wang , DO, MPH

Student in an Organized Health Care Education/Training Program

NPI 1023803269

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Aidan Gonzales

Student in an Organized Health Care Education/Training Program

NPI 1063257608
Dr. Alice Verticchio Vercellin , MD, PhD

Student in an Organized Health Care Education/Training Program

NPI 1063352698

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Vitrag Tejani , MD

Student in an Organized Health Care Education/Training Program

NPI 1073434148

Doctor of Medicine (M.D.)

John Falatko

Internal Medicine

NPI 1093001240
Dr. Kloie Nutt , DO

Student in an Organized Health Care Education/Training Program

NPI 1104760131

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 31, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2025

Registered at 2200 RANDALLIA DR, FORT WAYNE, IN 468054638 (Tel: 2603737765)

📍
Updated Business Mailing Address March 31, 2025

Registered at 2200 RANDALLIA DR, FORT WAYNE, IN 468054638 (Tel: 2603737765)

👤
Provider Name / Credentials Updated March 31, 2025

Recorded as EITHAR SHABBO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 31, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285437491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2025
Last Update: July 04, 2025
Sole Proprietor: No

Mailing Address

2200 Randallia Dr

Fort Wayne, IN 468054638

Phone: 2603737765

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.