Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598853830 Individual Practitioner Male Practitioner

Dr. Eric Todd , MD

Urology • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Eric Todd, MD is a registered healthcare professional specializing in Urology in Fort Wayne, IN. Practice services are available at 2121 LAKE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2121 Lake Ave

Fort Wayne, IN 468055100

Telephone 2604265431
Fax 2604601385
Associated Practice Facility / Clinic
🏢 Marion Vamc Facility NPI 1427016369

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
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-27
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35.122870

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
0098948 (OH)
Medicaid State Provider ID
4108684 (MI)
Commercial Insurance / Payer ID License
FT069788 (MI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tammy Moehle

Registered Nurse - Oncology

NPI 1003510157
NPI 1003779331

Doctor of Pharmacy (Pharm.D.)

Dr. Ashley Fulton , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1013222645

Doctor of Pharmacy (Pharm.D.)

Danielle Schultz

Registered Nurse

NPI 1013618040
NPI 1023030285

Doctor of Medicine (M.D.)

Scott Kruse

Social Worker - Clinical

NPI 1023350717

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 31, 2021

Registered at 2121 LAKE AVE, FORT WAYNE, IN 468055100 (Tel: 2604265431)

📍
Updated Business Mailing Address August 31, 2021

Registered at 2121 LAKE AVE, FORT WAYNE, IN 468055100 (Tel: 2604265431)

NPI Profile Active October 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2014

Registered at 960 W WOOSTER ST, SUITE 101, BOWLING GREEN, OH 434022644 (Tel: 4193521404)

📍
Updated Business Mailing Address October 24, 2014

Registered at 745 HASKINS RD, SUITE B, BOWLING GREEN, OH 434021600 (Tel: 4193537069)

👤
Provider Name / Credentials Updated October 24, 2014

Recorded as ERIC TODD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2014

Urology (License #35.122870 in OH)

🟢
Initial NPI Registration & Enumeration October 11, 2006

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: 1598853830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: September 27, 2023
Sole Proprietor: No

Mailing Address

2121 Lake Ave

Fort Wayne, IN 468055100

Phone: 2604265431

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.