REVATHI REENA RAMANI MD
NPI 1851442891
Pediatrics in Fort Wayne, IN

Active since January 16, 2007Opted out of Medicare · through Oct 1, 2027
2622 LAKE AVE, FORT WAYNE, IN 46805(260) 425-3752(260) 745-1321 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revathi Reena Ramani Md NPPES

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

REVATHI REENA RAMANI MD (NPI 1851442891) is an individual pediatrics provider in Fort Wayne, Indiana, licensed in Indiana (1058613A) and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851442891
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameREVATHI REENA RAMANICredential: MD
Location Address2622 LAKE AVEFort Wayne, IN 46805-5410
Mailing Address2622 Lake AveFort Wayne, IN 46805-5410 · (260) 425-3752 · Fax (260) 745-1321
Fax(260) 745-1321
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 13, 2015
NPI 1851442891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IN · 1058613A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2622 LAKE AVE, Fort Wayne, IN 46805

Other Identifiers 3

Medicare PIN150640HHIN
Medicaid200852640IN
Medicare PIN150640028IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Revathi Reena Ramani Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 13

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

Occupational Therapist
2622 LAKE AVE
FORT WAYNE, IN 46805
Internal Medicine
2622 LAKE AVE
FORT WAYNE, IN 46805
Internal Medicine (Gastroenterology)
2622 LAKE AVE
FORT WAYNE, IN 46805
Psychiatry & Neurology (Neurology)
2622 LAKE AVE
FORT WAYNE, IN 46805
Nurse Practitioner
2622 LAKE AVE
FORT WAYNE, IN 46805
Neurological Surgery
2622 LAKE AVE
FORT WAYNE, IN 46805
Internal Medicine (Cardiovascular Disease)
2622 LAKE AVE
FORT WAYNE, IN 46805
Family Medicine
2622 LAKE AVE
FORT WAYNE, IN 46805

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 Revathi Ramani's NPI number?

The NPI number for Revathi Ramani is 1851442891. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Revathi Ramani located?

Revathi Ramani practices at 2622 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 425-3752.

What is Revathi Ramani's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Revathi Ramani enrolled in Medicare?

No. Revathi Ramani has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Revathi Ramani was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.