Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497072532 Individual Practitioner Male Practitioner

Dr. Ryan Timothy Grimm , MD

Pediatrics • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Grimm, MD is a registered healthcare professional specializing in Pediatrics in Fort Wayne, IN. Practice services are available at 1818 CAREW ST STE 320 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1818 Carew St Ste 320

Fort Wayne, IN 468054764

Telephone 2603735890
Fax 2604228444
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
57 Specialists

Practicing in Fort Wayne, IN (1179 Statewide)

Telehealth Adoption Rate
1.8% 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: 2023-03-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01071541A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201095340 (IN)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Glenis Sundberg , MS ED, LMFT

Marriage & Family Therapist

NPI 1083988547

Master of Science in Education, Licensed Marriage and Family Therapist

NPI 1134555634

Doctor of Medicine (M.D.)

NPI 1326281650
Jennifer Burkhart , PA

Physician Assistant

NPI 1417343047

Physician Assistant

NPI 1982614343

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location November 18, 2022

Registered at 1818 CAREW ST STE 320, FORT WAYNE, IN 468054764 (Tel: 2603735890)

📍
Updated Business Mailing Address November 18, 2022

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

NPI Profile Active April 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2017

Registered at 333 E COUNTY LINE ROAD, SUITE B, GREENWOOD, IN 461431080 (Tel: 3174976333)

📍
Updated Business Mailing Address April 14, 2017

Registered at 6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 462502805

👤
Provider Name / Credentials Updated April 14, 2017

Recorded as RYAN GRIMM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2017

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2017

Pediatrics (License #01071541A in IN)

NPI Profile Active March 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2015

Registered at 333 E COUNTY LINE ROAD, SUITE B, GREENWOOD, IN 461431080 (Tel: 3174976333)

📍
Updated Business Mailing Address March 06, 2015

Registered at 6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 462502805 (Tel: 3174976330)

👤
Provider Name / Credentials Updated March 06, 2015

Recorded as RYAN GRIMM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2015

Pediatrics (License #01071541A in IN)

🟢
Initial NPI Registration & Enumeration April 29, 2010

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: 1497072532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2010
Last Update: March 24, 2023
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

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.