DR. SMITHA PATIBANDLA (MD) – Psychiatry Physician, NPI 1154580918

DR. SMITHA PATIBANDLA (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 01066011A (IN). The NPI Number for DR. SMITHA PATIBANDLA (MD) is 1154580918

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. SMITHA PATIBANDLA (MD)
NPI
1154580918
Phone
(260) 489-6030
Address
800 BROADWAY
Enumeration Date
6 June 2008
Last Update Date
24 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2603444035
Graduation Year
1991 (35 years ago)
PAC ID
8426194069
Group Practice PAC ID
7416107487
Professional Enrollment ID
I20091012000465
Address ID
IN468181526FO3955XRDXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

528 PSYCHIATRY in IN

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Provider Addresses for DR. SMITHA PATIBANDLA (MD)

  • 800, Broadway, Fort Wayne, Allen County, Indiana, 46802, United States

    SUITE 315

    FORT WAYNE, IN 468022149

    Phone: (260) 489-6030

    Fax: (260) 489-5536

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($71).

Total Amount

$189

General + Research + Ownership

Payments

9

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-10-12

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
I20091012000465IPsychiatryINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6444$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5920$0
90792Psychiatric diagnostic evaluation with medical services1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
99238Hospital discharge day management, 30 minutes or less1514$0
View full utilization report →

Insurance plans in this area (ZIP 46802)

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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: 7416107487View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physician AssistantOH
Nurse PractitionerCA
Nurse PractitionerIN
Internal MedicineIN
Internal MedicineIN
Internal MedicineOH
Nurse PractitionerVA
Internal MedicineIN
Hospitalist, Internal Medicine, Internal MedicineIN

Reviews

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Frequently asked questions

How do I look up DR. SMITHA PATIBANDLA (MD) by NPI?
Use NPI 1154580918 when you need to reference DR. SMITHA PATIBANDLA (MD) in forms, claims, or directories.
Is DR. SMITHA PATIBANDLA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. SMITHA PATIBANDLA (MD) treat or focus on?
Patients typically see DR. SMITHA PATIBANDLA (MD) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SMITHA PATIBANDLA (MD)?
The snapshot lists Fort Wayne, Indiana for DR. SMITHA PATIBANDLA (MD); download NPPES for the complete set.
Is DR. SMITHA PATIBANDLA (MD) a real provider?
This page reflects official NPPES data for NPI 1154580918. Always confirm identity and privileges with the practice and licensing boards.

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