DR. SANTOSH MAHARJAN M.D
NPI 1073751616
Psychiatry & Neurology - Psychiatry in Warsaw, IN

Active since February 03, 2009PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
850 N HARRISON ST, WARSAW, IN 46580(574) 267-7169(574) 269-3995 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Aug 25, 2022, Jul 21, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Santosh Maharjan M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANTOSH MAHARJAN M.D (NPI 1073751616) is an individual psychiatry provider in Warsaw, Indiana, licensed in Indiana (01070474A) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1073751616
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SANTOSH MAHARJANCredential: M.D
Location Address850 N HARRISON STWarsaw, IN 46580-3163
Mailing Address3201 E Center Street Ext, Attn: Anne Lawson - CredentialingWarsaw, IN 46582-3907 · (574) 267-1700 · Fax (574) 267-0017
Fax(574) 269-3995
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 3, 2009
Last NPPES UpdateOctober 20, 20226 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1073751616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in IN · 01070474A Licensed in MA · 237329
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
850 N HARRISON ST, Warsaw, IN 46580

Secondary Practice Locations 2

Location 13201 E Center Street ExtWarsaw, IN 46582-3907 · Phone (574) 267-1700 · Fax (574) 267-0017
Location 21720 Beacon StFort Wayne, IN 46805-4749 · Phone (260) 373-8000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Santosh Maharjan M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941451967
PECOS Enrollment IDI20121121000092
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
124 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
81 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
850 N HARRISON ST
WARSAW, IN 46580
Social Worker (Clinical)
850 N HARRISON ST
WARSAW, IN 46580
Social Worker (Clinical)
850 N HARRISON ST
WARSAW, IN 46580
Counselor (Professional)
850 N HARRISON ST
WARSAW, IN 46580
Counselor (Mental Health)
850 N HARRISON ST
WARSAW, IN 46580
Social Worker
850 N HARRISON ST
WARSAW, IN 46580
Nurse Practitioner (Family)
850 N HARRISON ST
WARSAW, IN 46580
Psychologist (Clinical)
850 N HARRISON ST
WARSAW, IN 46580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santosh Maharjan's NPI number?

The NPI number for Santosh Maharjan is 1073751616. It was assigned to this individual provider in the NPPES registry on February 3, 2009.

Where is Santosh Maharjan located?

Santosh Maharjan practices at 850 N Harrison St, Warsaw, IN 46580. The listed phone number is (574) 267-7169.

What is Santosh Maharjan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Santosh Maharjan enrolled in Medicare?

Yes. Santosh Maharjan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Santosh Maharjan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Providence Health Plan and UnitedHealthcare list Santosh Maharjan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Santosh Maharjan was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.