DR. JOSEPH WILLIAM MCCOLLOM DO NPI 1467717520

NPI Information

  • NPI: 1467717520
  • Provider Name: DR. JOSEPH WILLIAM MCCOLLOM, DO
  • Classification: Internal Medicine - 207RH0002X
  • Specialization: Hospice and Palliative Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11050 PARKVIEW CIRCLE DR
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (833) 724-8326

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NPI Details

DR. Joseph William Mccollom, DO is a hospice and palliative medicine internal medicine in Fort Wayne, IN with 13 years of experience. The provider is an internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. DR. Joseph William Mccollom, DO NPI is 1467717520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2012

The provider's business location address is:

11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN
ZIP 46845
Phone: (833) 724-8326
Fax: (260) 266-7585

The NPI 1467717520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)

The enumeration date for this NPI number is 7/5/2012 and was last updated on 12/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine5315055606MICHIGANNo
2207RH0002XInternal MedicineHospice and Palliative Medicine34.011985OHIONo
3207RH0003XInternal MedicineHematology & Oncology34.011985OHIONo
4207RH0002XInternal MedicineHospice and Palliative Medicine02005601AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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