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

Dr. Jeremy D Gilliam, MD

Individual provider Diagnostic Radiology Physician · NPI 1538284153

Dr. Jeremy D Gilliam, MD practises Diagnostic Radiology in Fort Wayne, Indiana. Graduated from Indiana University School of Medicine in 2003, 23 years ago. Practices with Henry County Memorial Hospital, a 152-clinician group and accepts Medicare assignment. Licensed in Indiana, Kentucky and Ohio.

Years since qualifying
23
Trained at
Indiana University School of Medicine
Licensed in
IN, KY, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701 Not confirmed with CMS for 10 years — call before visiting
Phone: (260) 432-4969
Fax: (260) 432-4969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01064785A (IN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence R1044 (KY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.091145 (OH)

Record details

NPI number1538284153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJune 20, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Henry County Memorial Hospital — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients2,086
Services billed 2,913 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Henry County Memorial Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 152 clinicians in the practice; 12 are shown here.

Other providers in Fort Wayne