DR. PAUL TRAIANOS KAPLANIS M.D.
NPI 1497860167
Family Medicine in Fort Wayne, IN
About Dr. Paul Traianos Kaplanis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL TRAIANOS KAPLANIS M.D. (NPI 1497860167) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01031926A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Dekalb Hospital, and is a graduate of Indiana University School Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
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
Dr. Paul Traianos Kaplanis M.d. 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 Reassignments
6Medicare enrollment records show Paul Kaplanis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46204
- Reassigned Medicare billing, Indiana enrollment
- 210 clinicians in this Medicare group
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
- 233 clinicians in this Medicare group
Hilliard, OH 43026
- Reassigned Medicare billing, Indiana enrollment
- 150 clinicians in this Medicare group
Columbus, IN 47201
- Reassigned Medicare billing, Indiana enrollment
- 129 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Indiana enrollment
- 135 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, Indiana enrollment
- 139 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 10
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Dekalb Hospital
Acute Care Hospitals · Auburn, INParkview Whitley Hospital
Acute Care Hospitals · Columbia City, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Paul Kaplanis's NPI number?
The NPI number for Paul Kaplanis is 1497860167. It was assigned to this individual provider in the NPPES registry on August 20, 2006.
Where is Paul Kaplanis located?
Paul Kaplanis practices at 6130 Trier Rd, Fort Wayne, IN 46815. The listed phone number is (260) 422-2481.
What is Paul Kaplanis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Paul Kaplanis enrolled in Medicare?
Yes. Paul Kaplanis 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 organizations bill Medicare for Paul Kaplanis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kaplanis reassigns Medicare benefits to 6 organizations: Eventus Ecs, Inc (Indianapolis, IN), Extended Care Specialists, Inc (Merrillville, IN), Eventus Ecs - Ohio LLC (Hilliard, OH), Eventus Wholehealth Midwest Inc (Columbus, IN), Eventus Ecs - Kentucky, PLLC (Lexington, KY) and 1 more organization, listed in the Medicare section above. Each 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 Paul Kaplanis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Kaplanis accept?
Health plans from CareSource list Paul Kaplanis 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 Paul Kaplanis affiliated with any hospitals?
According to CMS data, Paul Kaplanis is affiliated with Parkview Dekalb Hospital and Parkview Whitley Hospital.
When was this NPI record last updated?
The NPPES record for Paul Kaplanis was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Paul Traianos Kaplanis, M.D. · NPI 1497860167
Family Medicine physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since August 20, 2006.
## Identity
- **NPI:** 1497860167 (Entity type: Individual)
- **Enumerated:** August 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 01031926A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6130 TRIER RD, Fort Wayne, IN 46815-5339
- **Phone:** (260) 422-2481 · **Fax:** (260) 969-3067
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Eventus Ecs, Inc (NPI 1073353496, Indianapolis, IN); Extended Care Specialists, Inc (NPI 1134146079, Merrillville, IN); Eventus Ecs - Ohio LLC (NPI 1972321842, Hilliard, OH); Eventus Wholehealth Midwest Inc (NPI 1386252757, Columbus, IN); Eventus Ecs - Kentucky, PLLC (NPI 1396563276, Lexington, KY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1982
## Record status
- **NPPES last updated:** October 23, 2009
- **Other identifiers:** Other 000000595578 (IN); Medicare UPIN B28467 (IN); Medicare ID-Type Unspecified 055250EE (IN); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1497860167) · Data from the CMS NPPES public registry.