Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jefferson Park Pediatrics P C

Q: What type of organization is Jefferson Park Pediatrics P C?

Jefferson Park Pediatrics P C is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

Pediatrics Physician in Fort Wayne, IN · enumerated 2007 · authorized official Giridhar Veerula, Owner.

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

National Provider Identifier

1629263181

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Registry record

Entity type Organization (Type 2)

Legal business name Jefferson Park Pediatrics P C

Practice address 3919 W Jefferson Blvd Ste 1, Fort Wayne, IN, 46804

Phone (260) 436-7722

Fax (260) 459-0012

Enumeration date Sep 7, 2007

Last updated in NPPES Apr 23, 2025

Taxonomy & classification

174400000X Specialist Other Service Providers Secondary

202D00000X Integrative Medicine Physician Allopathic & Osteopathic Physicians Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Giridhar Veerula

Title Owner

Phone (260) 436-7722

Other identifiers

Identifier	Type	State	Issuer
200262620	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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Jefferson Park Pediatrics P C?

Jefferson Park Pediatrics P C is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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.

Providers at this address

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Vijay Veerula Family Medicine Physician · Fort Wayne, IN NPI 1114595394

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-23.