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Indiana Plastic Surgery Center, PC

Medical Specialty Clinic/Center in Fort Wayne, IN · enumerated 2013 · authorized official Robert Severinac, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174861454

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Registry record

Entity type Organization (Type 2)
Legal business name Indiana Plastic Surgery Center, PC
Practice address 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN, 46825
Phone (260) 489-0099
Fax (260) 489-0066
Enumeration date Jan 22, 2013
Last updated in NPPES Jan 22, 2013

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License 01043388A (IN) Primary

Authorized official

Name Robert Severinac
Title President
Phone (260) 489-0099

Other identifiers

Identifier Type State Issuer
200024970 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Indiana Plastic Surgery Center, PC?
Indiana Plastic Surgery Center, PC is registered in NPPES as a Medical Specialty Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-22.