Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LORI-ANNE TUNGPALAN-GRONDOLSKY MD
NPI 1699887810
Anesthesiology in Fort Wayne, IN

Q: What is Lori-anne Tungpalan-grondolsky's NPI number?

The NPI number for Lori-anne Tungpalan-grondolsky is 1699887810. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Lori-anne Tungpalan-grondolsky's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since September 01, 2006PECOS Enrolled

83.28/100

CMS Quality Rating

6435 W JEFFERSON BLVD # 434, FORT WAYNE, IN 46804(260) 436-7875(260) 432-9812 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Dec 28, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Dr. Lori-anne Tungpalan-grondolsky Md NPPES

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

DR. LORI-ANNE TUNGPALAN-GRONDOLSKY MD (NPI 1699887810) is an individual anesthesiology provider in Fort Wayne, Indiana, licensed in Indiana (01101116A) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699887810

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameDR. LORI-ANNE TUNGPALAN-GRONDOLSKYCredential: MD

Location Address6435 W JEFFERSON BLVD # 434Fort Wayne, IN 46804-6203

Mailing AddressPo Box 843603Dallas, TX 75284-0001 · (972) 233-1999 · Fax (972) 233-3666

Phone(260) 436-7875

Fax(260) 432-9812

Sole ProprietorYes

Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2000

Enumeration DateSeptember 1, 2006

Last NPPES UpdateOctober 28, 20265 updates tracked since enumeration

NPPES CertifiedOctober 28, 2026

✔ NPI 1699887810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in IN · 01101116A✔ Licensed in HI · 14755✔ Licensed in MN · 44120✔ Licensed in OH · 35084620

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

6435 W JEFFERSON BLVD # 434, Fort Wayne, IN 46804

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Secondary Practice Locations 2

Location 12550 University Ave W Ste 423Saint Paul, MN 55114-1052 · Phone (612) 871-1145 · Fax (612) 870-5491

Location 2272 Hospital RdChillicothe, OH 45601-9031 · Phone (740) 779-7540

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance.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. Lori-anne Tungpalan-grondolsky 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 ID6103888268

PECOS Enrollment IDI20041101000475

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.

Medicare Billing Reassignment

Medicare enrollment records show Lori-anne Tungpalan-grondolsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adena Medical Group LLC

165 mi

Family Medicine

272 HOSPITAL RD
Chillicothe, OH 45601

Reassigned Medicare billing, Ohio enrollment
763 clinicians in this Medicare group

NPI 1235468083 (740) 779-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360159

Location272 Hospital RoadChillicothe, OH 45601 · Ross County

Emergency services Birthing friendly

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.

83.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

58.73

Promoting Interoperability

100

Improvement Activities

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.

JOHN IROLER CRNA

Nurse Anesthetist, Certified Registered