DR. RAVI KUDUMULA M.D.
NPI 1225250129
Pediatrics - Neonatal-Perinatal Medicine in Fort Wayne, IN

Q: What is Ravi Kudumula's NPI number?

The NPI number for Ravi Kudumula is 1225250129. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Ravi Kudumula's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Ravi Kudumula was last updated on January 4, 2023. 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.

Active since May 02, 2007PECOS Enrolled

11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 672-6400(260) 672-6459 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Dec 30, 2022 (2 updates tracked since 2022).

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About Dr. Ravi Kudumula M.d. NPPES

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

DR. RAVI KUDUMULA M.D. (NPI 1225250129) is an individual neonatal-perinatal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01075277A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225250129

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. RAVI KUDUMULACredential: M.D.

Location Address11115 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 672-6400

Fax(260) 672-6459

Sole ProprietorNo

Enumeration DateMay 2, 2007

Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2023

✔ NPI 1225250129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in IN · 01075277A✔ Licensed in TN · 43609

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 43609 (TN)

11115 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

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Other Identifiers 1

MedicaidQ001555TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ravi Kudumula M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. MELISSA S RICE D.O.

Pediatrics (Neonatal-Perinatal Medicine)