Jefferson Park Pediatrics P C in Fort Wayne, IN
This organization bills under NPI 1629263181, an organization record issued on Sep 7, 2007 with the primary taxonomy Pediatrics Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1629263181
- Legal name
- Jefferson Park Pediatrics P C
- Entity
- Type 2 · organization
- Primary taxonomy
- Pediatrics Physician 208000000X
- Practice location
- 3919 W JEFFERSON BLVD STE 1, Fort Wayne, IN 46804
- Phone
- 260-436-7722
- Enumerated
- Sep 7, 2007
- Record updated
- Apr 23, 2025
- Authorized official
- Owner (title as filed)
3 clinicians CMS lists with Jefferson Park Pediatrics in Fort Wayne
- Carol Galicia, PAPhysician Assistant1609686112
- Vijay Veerula, DOFamily Medicine Physician1114595394
- Vindhya Veerula, MDDermatology Physician1104180793
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Indiana secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 174400000X Specialist
- 202D00000X Integrative Medicine Physician
- 207N00000X Dermatology Physician
- 207Q00000X Family Medicine Physician
- 208000000X Pediatrics Physician
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.