Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kids Healthcare PC

Organization Pediatrics Physician · NPI 1821459413

Kids Healthcare PC provides Pediatrics Physician services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2510 E Dupont Rd Ste 238
Fort Wayne, IN 46825-1600 Not confirmed with CMS for 10 years — call before visiting
Phone: (855) 200-7337
Fax: (888) 828-8197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01044949 (IN)

Record details

NPI number1821459413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Tallo — Owner · (855) 200-7337
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 10, 2016
Mailing address2510 E Dupont Rd, Suite 238, Fort Wayne, IN 46825-1600

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