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DR. SARA GUTTA
NPI 1508016528
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN

Active since September 26, 2008PECOS Enrolled
2121 LAKE AVENUE, FORT WAYNE, IN 46805(260) 426-5431 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sara Gutta NPPES

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

DR. SARA GUTTA (NPI 1508016528) is an individual cardiovascular disease provider in Fort Wayne, Indiana, licensed in Michigan (5101019066) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508016528
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SARA GUTTA
Location Address2121 LAKE AVENUEFort Wayne, IN 46805-5100
Mailing Address2121 Lake AveFort Wayne, IN 46805-5100
Phone(260) 426-5431
Sole ProprietorNo
Enumeration DateSeptember 26, 2008
Last NPPES UpdateJuly 11, 2019
✔ NPI 1508016528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 5101019066
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2121 LAKE AVENUE, Fort Wayne, IN 46805
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sara Gutta 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

JANET CASPERSON NP
Nurse Practitioner
2121 LAKE AVENUE, ROOM 345
FORT WAYNE, IN 46805
Allen County (260) 426-5431
MARGARET R WARDLOW
Social Worker
2121 LAKE AVENUE
FORT WAYNE, IN 46805
Allen County (260) 715-8256
LEE ANN MILLER DNP-ACNP-BC
Nurse Practitioner (Acute Care)
2121 LAKE AVENUE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
TISA SALAHUD-DIN
Registered Nurse
2121 LAKE AVENUE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
ABAGAIL BOOKER LPN
Licensed Practical Nurse
2121 LAKE AVENUE
FORT WAYNE, IN 46805
Allen County (260) 426-5431

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 Sara Gutta's NPI number?

The NPI number for Sara Gutta is 1508016528. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Where is Sara Gutta located?

Sara Gutta practices at 2121 Lake Avenue, Fort Wayne, IN 46805. The listed phone number is (260) 426-5431.

What is Sara Gutta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sara Gutta enrolled in Medicare?

Yes. Sara Gutta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Gutta was last updated on July 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.