Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Three Rivers Medical Associates, LLC

Organization Nephrology Physician · NPI 1558460378

Three Rivers Medical Associates, LLC provides Nephrology Physician services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7910 W Jefferson Blvd
Fort Wayne, IN 46804-4159 Not confirmed with CMS for 18 years — call before visiting
Phone: (260) 402-7446
Fax: (260) 435-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 01052976A (IN)

Record details

NPI number1558460378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Binoy Ouseph — Office Manager · (260) 402-7446
NPI enumeratedSeptember 21, 2006
Last updated in NPPESOctober 24, 2007
Mailing address2331 Ladue Lane, Fort Wayne, IN 46804

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