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FORT WAYNE PSYCHIATRY. P. C.
NPI 1427148782
Psychiatry & Neurology - Psychiatry in Fort Wayne, IN

Active since October 14, 2006
3400 E COLISEUM BLVD, STE 340, FORT WAYNE, IN 46805(260) 484-1312(260) 471-0996 Get Directions Write a Review

NPPES record last updated: January 15, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fort Wayne Psychiatry. P. C. NPPES

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

FORT WAYNE PSYCHIATRY. P. C. (NPI 1427148782) is a healthcare organization registered as a psychiatry in Fort Wayne, Indiana and active in the NPI registry since October 2006. The organization lists Prevesh Kumar Rustagi, President, as its authorized official.

NPPES Registry Identity

NPI1427148782
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameFORT WAYNE PSYCHIATRY. P. C.
Location Address3400 E COLISEUM BLVD, STE 340Fort Wayne, IN 46805-1644
Mailing Address3400 E Coliseum Blvd, Ste 340Fort Wayne, IN 46805-1644 · (260) 484-1312 · Fax (260) 471-0996
Phone(260) 484-1312
Fax(260) 471-0996
Organization SubpartNo
Authorized OfficialPrevesh Kumar RustagiPresident · (260) 484-1312
Enumeration DateOctober 14, 2006
Last NPPES UpdateJanuary 15, 2017
✔ NPI 1427148782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
3400 E COLISEUM BLVD, Fort Wayne, IN 46805
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN218700
Medicaid100389780AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Wayne Psychiatry. P. C. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fort Wayne Psychiatry. P. C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Prevesh Rustagi, M.D.
Psychiatry
NPI 1245237411
3400 E COLISEUM BLVD SUITE 340
Fort Wayne, IN 46805
(260) 484-1312
✔ PECOS✔ Accepts MedicareSame address

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 Fort Wayne Psychiatry. P. C.'s NPI number?

The NPI number for Fort Wayne Psychiatry. P. C. is 1427148782. It was assigned to this organization in the NPPES registry on October 14, 2006.

Where is Fort Wayne Psychiatry. P. C. located?

Fort Wayne Psychiatry. P. C. is located at 3400 E Coliseum Blvd Ste 340, Fort Wayne, IN 46805. The listed phone number is (260) 484-1312.

What is Fort Wayne Psychiatry. P. C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Fort Wayne Psychiatry. P. C. enrolled in Medicare?

Yes. Fort Wayne Psychiatry. P. C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Wayne Psychiatry. P. C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Fort Wayne Psychiatry. P. C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fort Wayne Psychiatry. P. C. was last updated on January 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.