DR. SATYA PRASAD TUMMALA (M.D.) – Anesthesiology Physician, NPI 1104823343

DR. SATYA PRASAD TUMMALA (M.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01054613A (IN). The NPI Number for DR. SATYA PRASAD TUMMALA (M.D.) is 1104823343

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. SATYA PRASAD TUMMALA (M.D.)
NPI
1104823343
Phone
(260) 482-1004
Address
3810 NEW VISION DR
Enumeration Date
1 July 2005
Last Update Date
6 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2606726443
Graduation Year
1982 (44 years ago)
PAC ID
0941489017
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20110120001055
Address ID
IN468451701FO11115DRXX400

Contacts

Secure Messaging
stummala9186@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,446 ANESTHESIOLOGY in IN

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Provider Addresses for DR. SATYA PRASAD TUMMALA (M.D.)

  • 3810, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    FORT WAYNE, IN 468451708

    Phone: (260) 482-1004

    Fax: (260) 483-7894

    Type: Location

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • 11141 PARKVIEW PLAZA DR STE 200

    FORT WAYNE, IN 468451714

    Phone: (260) 425-6030

    Fax: (260) 425-6028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110120001055IAnesthesiologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3131$0
00811Anesthesia for other procedure on large bowel using an endoscope3131$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SATYA PRASAD TUMMALA (M.D.)?
DR. SATYA PRASAD TUMMALA (M.D.) — NPI 1104823343 — is the standard way to identify this listing.
Is DR. SATYA PRASAD TUMMALA (M.D.) still practicing?
DR. SATYA PRASAD TUMMALA (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. SATYA PRASAD TUMMALA (M.D.) hold?
Scheduling teams often label DR. SATYA PRASAD TUMMALA (M.D.) under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SATYA PRASAD TUMMALA (M.D.) based?
DR. SATYA PRASAD TUMMALA (M.D.) is tied to Fort Wayne, Indiana in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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