Dr. Jonathan Detommaso
DPM | Podiatrist | 13+ years Exp
Medicare Enrolled
7601 W Jefferson Blvd, Fort Wayne
Indiana, 46804-4133
260-436-8686 260-436-8585
Maps & DirectionsDr. Jonathan Detommaso is a Fort Wayne, Indiana based podiatrist with 13 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 2012. He is also affiliated with hospitals like The Orthopaedic Hospital Of Lutheran Health Networ and Cameron Memorial Community Hospital Inc. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jonathan Detommaso for Podiatric Foot & Ankle Surgery is 07001204A in Indiana.
Dr. Jonathan Detommaso is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Jonathan Detommaso speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 13+ years |
| Medical School Attended: | Kent State University College Of Podiatric Medicine |
| Graduation Year: | 2012 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 7601 W Jefferson Blvd, Fort Wayne,
Indiana, 46804-4133 |
| Phone: | 260-436-8686 |
| Fax: | 260-436-8585 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2961713334 |
| Enrollment ID: | I20150625002450 |
| NPI Number: | 1033476304 |
| NPI Enumeration Date: | 11 Apr, 2012 |
| NPI Last Update On: | 07 Nov, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jonathan Detommaso are as mentioned below.
| License Number | Specialization | State | Status | |
| 07001204A | Podiatric Foot & Ankle Surgery | Indiana | Primary | |
| 07001204A | Podiatry | Indiana | Secondary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| The Orthopaedic Hospital Of Lutheran Health Networ (150168) | Fort wayne, IN | Acute Care Hospital |
| Cameron Memorial Community Hospital Inc (151315) | Angola, IN | Critical Access Hospital |
| Lutheran Hospital Of Indiana (150017) | Fort wayne, IN | Acute Care Hospital |
| Dupont Hospital Llc(150150) | Fort wayne, IN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jonathan Detommaso is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Fort Wayne Orthopaedics, Llc (7618965286) | 56 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jonathan Detommaso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| P01524125 | Other | Indiana | RAILROAD MEDICARE |
| 201289140 | Medicaid | Indiana | |
| 000000934131 | Other | Indiana | ANTHEM |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 2526,
Fort Wayne, Indiana |
| Zip: | 46801-2526 |
| Phone Number: | 866-401-3663 |
| Fax Number: | 260-407-4422 |
Patients can reach Dr. Jonathan Detommaso at
7601 W Jefferson Blvd, Fort Wayne, Indiana or can
call to book an appointment on 260-436-8686.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Jonathan Detommaso below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Jonathan Detommaso. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.