MADHAV H BHAT MD
NPI 1376540823
Psychiatry & Neurology - Neurology in Fort Wayne, IN

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
57.27/100
CMS Quality Rating
2510 E DUPONT RD STE 226, FORT WAYNE, IN 46825(260) 460-3100(260) 460-3130 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, Oct 4, 2018 (2 updates tracked since 2018).

About Madhav H Bhat Md NPPES

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

MADHAV H BHAT MD (NPI 1376540823) is an individual neurology provider in Fort Wayne, Indiana, licensed in Indiana (01034970A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1376540823
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMADHAV H BHATCredential: MD
Location Address2510 E DUPONT RD STE 226Fort Wayne, IN 46825-1603
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(260) 460-3130
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJune 30, 2005
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1376540823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IN · 01034970A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2510 E DUPONT RD STE 226, Fort Wayne, IN 46825

Secondary Practice Location 1

Location 17956 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (260) 436-2416 · Fax (260) 436-9662

Other Identifiers 4

Medicaid0703537OH
Medicaid100319640IN
Other130005974IN · Rr Medicare
Medicaid2717800MI

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

Madhav H Bhat Md 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 ID3375443039
PECOS Enrollment IDI20040927000390
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 13

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
8,801 services20 patients
Injection, incobotulinumtoxin a, 1 unit J0588
Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
5,700 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
143 services114 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
66 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services48 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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.

57.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality52.97
Promoting Interoperability33
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
23%264 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
48%410 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
63%2,590 patients2/55-star benchmark: 100%
e-Prescribing
98%1,115 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
76%664 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
69%1,533 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 55% · 1,545 patients
Patients screened: 43% · 1,545 patients
34%340 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
0%1,552 patients1/55-star benchmark: 100%
Support Electronic Referral Loops By Receiving and Reconciling Health Information
71%1,940 patients3/55-star benchmark: 98%
Support Electronic Referral Loops By Sending Health Information
1%682 patients1/55-star benchmark: 97%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 664 patients
Patients totalRate: 1% · 664 patients
1%664 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
2510 E DUPONT RD STE 226
FORT WAYNE, IN 46825
Nurse Practitioner (Family)
2510 E DUPONT RD STE 226
FORT WAYNE, IN 46825
Psychiatry & Neurology (Neurology)
2510 E DUPONT RD STE 226
FORT WAYNE, IN 46825

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 Madhav Bhat's NPI number?

The NPI number for Madhav Bhat is 1376540823. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Madhav Bhat located?

Madhav Bhat practices at 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825. The listed phone number is (260) 460-3100.

What is Madhav Bhat's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Madhav Bhat enrolled in Medicare?

Yes. Madhav Bhat 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 Madhav Bhat accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Madhav Bhat 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.

Is Madhav Bhat affiliated with any hospitals?

According to CMS data, Madhav Bhat is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, Indiana University Health Ball Memorial Hospital, Parkview Noble Hospital and Dupont Hospital LLC.

When was this NPI record last updated?

The NPPES record for Madhav Bhat was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.