PSYCHIATRIC SERVICES P C
NPI 1194913228
Psychiatry & Neurology - Psychiatry in Fort Wayne, IN
About Psychiatric Services P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PSYCHIATRIC SERVICES P C (NPI 1194913228) is a healthcare organization registered as a psychiatry in Fort Wayne, Indiana and active in the NPI registry since October 2007. The organization lists Mahender Reddy Surakanti, M.d., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Psychiatric Services P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Psychiatric Services P C, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Psychiatric Services P C's NPI number?
The NPI number for Psychiatric Services P C is 1194913228. It was assigned to this organization in the NPPES registry on October 15, 2007.
Where is Psychiatric Services P C located?
Psychiatric Services P C is located at 800 Broadway Ste 208, Fort Wayne, IN 46802. The listed phone number is (260) 425-3204.
What is Psychiatric Services P C's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Psychiatric Services P C enrolled in Medicare?
Yes. Psychiatric Services P C is registered in the Medicare PECOS enrollment system.
When is Psychiatric Services P C's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Psychiatric Services P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Psychiatric Services P C, in Clinical Social Worker and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Psychiatric Services P C accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Psychiatric Services P C 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 Psychiatric Services P C was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Psychiatric Services P C · NPI 1194913228
Psychiatry organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since October 15, 2007.
## Identity
- **NPI:** 1194913228 (Entity type: Organization)
- **Enumerated:** October 15, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Mahender Surakanti, M.D.
## Practice location
- **Address:** 800 BROADWAY, STE 208, Fort Wayne, IN 46802-2149
- **Phone:** (260) 425-3204 · **Fax:** (260) 425-3206
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Psychiatry (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2010
- **Other identifiers:** Medicare PIN 207300A (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1194913228) · Data from the CMS NPPES public registry.