PRATYUSHA TANTRAVAHI D.O.
NPI 1295198414
Family Medicine in Fort Wayne, IN
About Pratyusha Tantravahi D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRATYUSHA TANTRAVAHI D.O. (NPI 1295198414) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (02006015A) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains a secondary practice location in Scranton.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pratyusha Tantravahi D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Pratyusha Tantravahi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46845
- Reassigned Medicare billing, Indiana enrollment
- 1,752 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INParkview Dekalb Hospital
Acute Care Hospitals · Auburn, INParkview Whitley Hospital
Acute Care Hospitals · Columbia City, INParkview Noble Hospital
Acute Care Hospitals · Kendallville, INAdams Memorial Hospital
Critical Access Hospitals · Decatur, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FORT WAYNE, IN 46845
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 Pratyusha Tantravahi's NPI number?
The NPI number for Pratyusha Tantravahi is 1295198414. It was assigned to this individual provider in the NPPES registry on April 4, 2016.
Where is Pratyusha Tantravahi located?
Pratyusha Tantravahi practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-2020.
What is Pratyusha Tantravahi's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pratyusha Tantravahi enrolled in Medicare?
Yes. Pratyusha Tantravahi 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.
Which organization bills Medicare for Pratyusha Tantravahi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pratyusha Tantravahi 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 Pratyusha Tantravahi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Pratyusha Tantravahi affiliated with any hospitals?
According to CMS data, Pratyusha Tantravahi is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital, Parkview Whitley Hospital, Parkview Noble Hospital and Adams Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Pratyusha Tantravahi was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pratyusha Tantravahi, D.O. · NPI 1295198414
Family Medicine physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since April 4, 2016.
## Identity
- **NPI:** 1295198414 (Entity type: Individual)
- **Enumerated:** April 4, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 02006015A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845-1701
- **Phone:** (260) 266-2020 · **Fax:** (260) 266-2009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Parkview Health System, Inc. (NPI 1952411233, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295198414) · Data from the CMS NPPES public registry.