Active NPI 1215901574 Individual Practitioner Male Practitioner

Dr. David L Pollifrone , MD

Urology • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. David Pollifrone, MD is a registered healthcare professional specializing in Urology in Fort Wayne, IN. Practice services are available at 11141 PARKVIEW PLAZA DR STE 325 under active NPI credentials.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11141 Parkview Plaza Dr Ste 325

Fort Wayne, IN 468451714

Telephone 2604255400

Fax 2604255417

Associated Practice Facility / Clinic

🏢 Midwest Community Health Associates, Inc. Facility NPI 1619915170

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fort Wayne, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.1 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

33 Specialists

Practicing in Fort Wayne, IN (320 Statewide)

Telehealth Adoption Rate

30.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.5% 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
J0585 Injection, onabotulinumtoxina, 1 unit	4,100	25	$14.76	$6.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	262	$196.00	$119.40
99213 Established patient office or other outpatient visit, typically 15 minutes	278	254	$135.00	$84.46
81003 Automated urinalysis test	213	112	$21.00	$2.20
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	153	22	$4327.08	$178.18
J1580 Injection, garamycin, gentamicin, up to 80 mg	72	23	$5.43	$2.45
52000 Diagnostic exam of bladder and urethra using an endoscope	65	50	$640.00	$219.30
52287 Exam with injections of chemical for destruction of bladder using an endoscope	41	25	$1026.00	$354.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$308.00	$155.27
51798 Ultrasound measurement of bladder capacity after voiding	33	28	$111.00	$10.15
74420 Imaging of urinary tract	30	29	$94.00	$22.86
76872 Ultrasound scan of pelvic region through rectum	27	26	$458.00	$123.31
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	18	$108.00	$32.19
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	19	$1621.00	$117.77
55700 Biopsy of prostate gland	19	18	$595.00	$212.28
50590 Shock wave crushing of kidney stones	18	18	$3361.00	$527.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$257.00	$120.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$90.00	$52.50
81002 Urinalysis, manual test	12	12	$22.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,700	20	$14.76	$6.24
99213 Established patient office or other outpatient visit, typically 15 minutes	377	315	$130.70	$84.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	287	238	$191.90	$119.08
81003 Automated urinalysis test	261	169	$21.00	$2.19
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	165	18	$4169.73	$165.21
52000 Diagnostic exam of bladder and urethra using an endoscope	87	74	$640.00	$219.63
51798 Ultrasound measurement of bladder capacity after voiding	62	54	$111.00	$9.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$302.70	$156.91
J1580 Injection, garamycin, gentamicin, up to 80 mg	48	15	$5.43	$2.76
52287 Exam with injections of chemical for destruction of bladder using an endoscope	36	20	$1026.00	$363.75
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	31	18	$108.00	$31.45
50590 Shock wave crushing of kidney stones	28	25	$3361.00	$533.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$88.46	$53.07
76872 Ultrasound scan of pelvic region through rectum	20	20	$458.00	$128.17
74420 Imaging of urinary tract	19	17	$94.00	$23.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$213.67	$105.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$256.63	$123.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	15	$1777.80	$134.17
55700 Biopsy of prostate gland	11	11	$595.00	$225.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	4,550	28	$12.79	$6.13
99213 Established patient office or other outpatient visit, typically 15 minutes	433	366	$135.00	$85.06
81003 Automated urinalysis test	235	154	$21.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	138	$196.00	$120.79
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	113	15	$4257.00	$181.25
52000 Diagnostic exam of bladder and urethra using an endoscope	72	60	$640.00	$230.55
51798 Ultrasound measurement of bladder capacity after voiding	70	61	$111.00	$9.51
J1580 Injection, garamycin, gentamicin, up to 80 mg	69	16	$8.79	$1.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$308.00	$157.99
52287 Exam with injections of chemical for destruction of bladder using an endoscope	42	28	$1026.00	$372.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	30	$90.00	$53.17
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	18	$108.00	$30.90
74420 Imaging of urinary tract	25	24	$94.00	$23.99
81002 Urinalysis, manual test	24	24	$22.00	$3.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$257.00	$127.99
50590 Shock wave crushing of kidney stones	16	13	$3361.00	$531.67
76872 Ultrasound scan of pelvic region through rectum	16	16	$439.63	$125.83
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	15	$1699.40	$115.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,050	30	$12.79	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	512	391	$120.00	$85.59
81003 Automated urinalysis test	250	164	$21.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	206	$175.00	$121.32
J1580 Injection, garamycin, gentamicin, up to 80 mg	168	38	$3.91	$1.83
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	158	24	$826.00	$187.82
51798 Ultrasound measurement of bladder capacity after voiding	116	90	$111.00	$9.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	80	$80.00	$52.51
52000 Diagnostic exam of bladder and urethra using an endoscope	66	58	$640.00	$218.27
52287 Exam with injections of chemical for destruction of bladder using an endoscope	42	30	$1026.00	$363.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$275.00	$155.93
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	24	$108.00	$30.21
81002 Urinalysis, manual test	30	20	$22.00	$3.48
74420 Imaging of urinary tract	28	28	$94.00	$24.14
55876 Placement of device in prostate for radiation therapy	24	24	$962.00	$141.11
76872 Ultrasound scan of pelvic region through rectum	22	22	$458.00	$130.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$195.00	$101.90
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$940.00	$54.69
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	19	$1868.58	$113.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$255.00	$122.77
54235 Injection procedure to induce erection	16	16	$228.00	$83.42
55700 Biopsy of prostate gland	15	15	$595.00	$235.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$360.00	$209.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,500	39	$13.26	$5.97
99213 Established patient office or other outpatient visit, typically 15 minutes	529	407	$128.92	$71.52
81003 Automated urinalysis test	303	204	$17.85	$2.22
J1580 Injection, garamycin, gentamicin, up to 80 mg	162	50	$3.44	$1.95
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	159	23	$692.45	$224.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	116	$186.41	$104.26
84153 Psa (prostate specific antigen) measurement, total	116	110	$80.00	$18.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	102	$80.00	$43.07
36415 Insertion of needle into vein for collection of blood sample	105	99	$11.14	$2.97
51798 Ultrasound measurement of bladder capacity after voiding	90	76	$82.67	$9.41
87086 Bacterial colony count, urine	75	55	$30.00	$7.96
52000 Diagnostic exam of bladder and urethra using an endoscope	73	54	$574.79	$200.04
A4648 Tissue marker, implantable, any type, each	72	24	$250.00	$190.29
52287 Exam with injections of chemical for destruction of bladder using an endoscope	52	39	$942.00	$338.18
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	49	46	$377.96	$54.86
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	40	28	$34.00	$7.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	24	$91.46	$29.77
55876 Placement of device in prostate for radiation therapy	35	35	$549.71	$139.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	34	$50.00	$13.51
51700 Simple bladder irrigation and/or instillation	32	30	$200.94	$37.63
87088 Bacterial urine culture	31	25	$39.00	$7.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	28	$30.00	$7.68
84403 Testosterone (hormone) level, total	27	27	$110.00	$25.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$289.58	$152.46
55700 Biopsy of prostate gland	18	18	$570.56	$237.71
84154 Psa (prostate specific antigen) measurement, free	17	16	$80.00	$18.11
76872 Ultrasound scan of pelvic region through rectum	15	15	$342.13	$135.69
82565 Blood creatinine level	15	15	$20.00	$5.07
80048 Blood test, basic group of blood chemicals (calcium, total)	14	14	$30.00	$8.30
80053 Blood test, comprehensive group of blood chemicals	11	11	$40.00	$10.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	6,700	39	$13.58	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	656	490	$140.00	$70.30
81003 Automated urinalysis test	549	333	$15.00	$2.41
84153 Psa (prostate specific antigen) measurement, total	346	271	$80.00	$20.03
36415 Insertion of needle into vein for collection of blood sample	310	269	$10.00	$2.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	254	218	$80.00	$42.64
J1580 Injection, garamycin, gentamicin, up to 80 mg	231	74	$3.20	$1.74
51798 Ultrasound measurement of bladder capacity after voiding	171	120	$58.74	$11.65
87086 Bacterial colony count, urine	166	97	$30.00	$8.79
A4648 Tissue marker, implantable, any type, each	156	52	$250.00	$191.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	135	20	$500.00	$225.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	87	$200.00	$103.08
52000 Diagnostic exam of bladder and urethra using an endoscope	97	86	$500.00	$178.73
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	84	52	$34.00	$7.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	75	$50.00	$15.65
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	76	73	$175.00	$53.85
87088 Bacterial urine culture	76	50	$39.00	$8.81
84403 Testosterone (hormone) level, total	71	44	$110.00	$28.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	65	48	$30.00	$8.46
51700 Simple bladder irrigation and/or instillation	57	39	$190.00	$35.35
52287 Exam with injections of chemical for destruction of bladder using an endoscope	57	39	$870.00	$321.55
55876 Placement of device in prostate for radiation therapy	53	53	$416.96	$133.62
84154 Psa (prostate specific antigen) measurement, free	50	41	$80.00	$20.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$200.00	$102.33
82565 Blood creatinine level	40	39	$20.00	$5.58
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	20	$72.00	$29.14
80053 Blood test, comprehensive group of blood chemicals	25	23	$40.00	$11.51
80048 Blood test, basic group of blood chemicals (calcium, total)	24	24	$30.00	$9.21
76872 Ultrasound scan of pelvic region through rectum	24	24	$283.33	$121.16
55700 Biopsy of prostate gland	23	23	$551.00	$237.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$310.00	$156.16
50590 Shock wave crushing of kidney stones	17	17	$1700.00	$535.42
74178 Ct scan of abdomen and pelvis before and after contrast	13	13	$1100.00	$241.12
74176 Ct scan of abdomen and pelvis without contrast	12	12	$600.00	$104.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,900	36	$13.68	$6.05
99213 Established patient office or other outpatient visit, typically 15 minutes	681	488	$140.00	$68.14
81003 Automated urinalysis test	540	326	$15.00	$2.66
36415 Insertion of needle into vein for collection of blood sample	415	330	$10.00	$2.93
84153 Psa (prostate specific antigen) measurement, total	383	298	$80.00	$22.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	274	243	$80.00	$40.79
J1580 Injection, garamycin, gentamicin, up to 80 mg	226	72	$3.20	$1.44
87086 Bacterial colony count, urine	196	116	$30.00	$9.55
51798 Ultrasound measurement of bladder capacity after voiding	157	112	$60.00	$14.31
A4648 Tissue marker, implantable, any type, each	146	53	$250.00	$194.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	107	$200.00	$101.53
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	19	$500.00	$208.96
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	114	64	$34.00	$8.27
52000 Diagnostic exam of bladder and urethra using an endoscope	97	75	$500.00	$153.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	84	65	$30.00	$9.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	74	$50.00	$19.18
84403 Testosterone (hormone) level, total	78	50	$110.00	$31.23
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	74	70	$175.00	$56.50
87088 Bacterial urine culture	65	46	$39.00	$9.65
55876 Placement of device in prostate for radiation therapy	58	58	$431.00	$129.78
84154 Psa (prostate specific antigen) measurement, free	55	47	$80.00	$22.26
51700 Simple bladder irrigation and/or instillation	54	37	$177.78	$35.28
52287 Exam with injections of chemical for destruction of bladder using an endoscope	53	36	$870.00	$294.60
87077 Bacterial culture for aerobic isolates	49	30	$38.00	$9.77
82565 Blood creatinine level	49	45	$20.00	$6.20
80048 Blood test, basic group of blood chemicals (calcium, total)	32	30	$30.00	$10.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$310.00	$154.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$199.45	$98.15
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	19	$72.00	$28.10
80053 Blood test, comprehensive group of blood chemicals	27	25	$40.00	$12.78
74178 Ct scan of abdomen and pelvis before and after contrast	18	18	$1088.89	$233.51
76872 Ultrasound scan of pelvic region through rectum	18	17	$220.00	$90.93
50590 Shock wave crushing of kidney stones	17	15	$1700.00	$543.54
76857 Limited ultrasound scan of pelvis	17	17	$153.00	$45.60
55700 Biopsy of prostate gland	17	16	$527.71	$234.66
74176 Ct scan of abdomen and pelvis without contrast	16	16	$594.38	$156.38
93980 Ultrasound scan of penile arterial inflow and venous outflow	14	14	$300.00	$119.47
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$700.00	$162.51
74177 Ct scan of abdomen and pelvis with contrast	11	11	$895.45	$242.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,300	34	$13.68	$5.88
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,100	18	$10.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	705	519	$140.00	$68.36
81003 Automated urinalysis test	690	399	$15.00	$2.98
36415 Insertion of needle into vein for collection of blood sample	429	350	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	378	307	$80.00	$24.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	319	270	$80.00	$40.67
J1580 Injection, garamycin, gentamicin, up to 80 mg	248	80	$3.20	$1.50
87086 Bacterial colony count, urine	226	140	$30.00	$10.85
51798 Ultrasound measurement of bladder capacity after voiding	210	139	$60.00	$17.51
A4648 Tissue marker, implantable, any type, each	126	64	$210.75	$177.38
52000 Diagnostic exam of bladder and urethra using an endoscope	122	95	$500.00	$150.93
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	118	65	$34.00	$9.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	89	$200.00	$100.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	88	81	$50.00	$23.52
87077 Bacterial culture for aerobic isolates	85	51	$38.00	$10.86
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	80	77	$175.00	$56.33
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	76	11	$500.00	$209.08
55876 Placement of device in prostate for radiation therapy	73	73	$436.90	$126.99
84403 Testosterone (hormone) level, total	69	43	$110.00	$34.70
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	68	50	$30.00	$10.45
82565 Blood creatinine level	66	63	$20.00	$6.89
84154 Psa (prostate specific antigen) measurement, free	54	46	$80.00	$24.73
52287 Exam with injections of chemical for destruction of bladder using an endoscope	47	34	$870.00	$292.35
51700 Simple bladder irrigation and/or instillation	47	34	$170.00	$34.03
87088 Bacterial urine culture	33	22	$39.00	$10.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$200.00	$99.67
80053 Blood test, comprehensive group of blood chemicals	27	22	$40.00	$13.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$310.00	$154.38
80048 Blood test, basic group of blood chemicals (calcium, total)	23	23	$30.00	$8.11
50590 Shock wave crushing of kidney stones	18	17	$1700.00	$544.70
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	17	12	$72.00	$30.17
74177 Ct scan of abdomen and pelvis with contrast	16	16	$750.00	$200.96
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	14	$1200.00	$116.95
54235 Injection procedure to induce erection	12	12	$180.00	$82.12
76872 Ultrasound scan of pelvic region through rectum	11	11	$220.00	$89.35
93980 Ultrasound scan of penile arterial inflow and venous outflow	11	11	$300.00	$114.56
76857 Limited ultrasound scan of pelvis	11	11	$153.00	$45.36

Medical Specialties & State Licenses

CMS Verified: 2023-04-03

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01046999A

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0921953 (OH)

Medicaid State Provider ID

0748972 (OH)

Medicaid State Provider ID

100081380 (IN)

Medicaid State Provider ID

200146910 (IN)

Commercial Insurance / Payer ID Anthem Bc/bs

000000087511 (IN)

Practice Associates & Co-Workers

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

25 Associated Practitioners

Dr. Sable Locke , MD

Urology

NPI 1043630916

Doctor of Medicine (M.D.)

Megan Krom , FNP-C

Nurse Practitioner

NPI 1124773171

Family Nurse Practitioner (Certified)

Madelyn Boggs , PA

Physician Assistant

NPI 1124796792

Physician Assistant

Dr. Jorge Arzola , MD

Urology

NPI 1205856382

Doctor of Medicine (M.D.)

Felisha Kiehl , NP

Nurse Practitioner

NPI 1235692500

Nurse Practitioner

Katherine Fernandez , NP

Nurse Practitioner

NPI 1285353979

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 03, 2023

Registered at 11141 PARKVIEW PLAZA DR STE 325, FORT WAYNE, IN 468451714 (Tel: 2604255400)

📍

Updated Business Mailing Address April 03, 2023

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

📍

Updated Business Mailing Address June 03, 2020

Registered at 3702 NEW VISION DR, BLDG B, FORT WAYNE, IN 468451703 (Tel: 2602668210)

✅

NPI Profile Active February 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 29, 2012

Registered at 2512 E DUPONT RD, SUITE 100, FORT WAYNE, IN 468251675 (Tel: 2694366667)

📍

Updated Business Mailing Address February 29, 2012

Registered at 10351 DAWSONS CREEK BLVD, STE. D, FORT WAYNE, IN 468251904 (Tel: 2609691950)

👤

Provider Name / Credentials Updated February 29, 2012

Recorded as DAVID POLLIFRONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2012

Urology (License #01046999A in IN)

🟢

Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215901574

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 14, 2006

Last Update: April 03, 2023

Sole Proprietor: No

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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).

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