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

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: November 01, 2026.

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

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 Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ravi Kudumula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Parkview Health System, Inc.
Same address
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR STE 101
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1720190002 (260) 425-6650

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6443
KRISTEN N AZZUE
Physician Assistant
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-5400
DR. WIN BOON M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-4000
CHRISTEN A MERKLER CNP
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6400
KRISTEN DETTMER PNP
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-5400
ROWANN HASSAN
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-5400
MRS. VIVIAN L APPIARIUS NP
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-5400
EKATERINA DIANOVA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6443

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 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.

Where is Ravi Kudumula located?

Ravi Kudumula practices at 11115 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 672-6400.

What is Ravi Kudumula's specialty?

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

Is Ravi Kudumula enrolled in Medicare?

Yes. Ravi Kudumula is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ravi Kudumula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravi Kudumula reassigns Medicare benefits to Parkview Health System, Inc. (Fort Wayne, IN). The 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 Ravi Kudumula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ravi Kudumula accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and Paramount list Ravi Kudumula 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 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.