MAHENDER REDDY SURAKANTI (MD) – Psychiatry Physician, NPI 1417940909

MAHENDER REDDY SURAKANTI (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 01057700A (IN). The NPI Number for MAHENDER REDDY SURAKANTI (MD) is 1417940909

Main info

Male
Sole Proprietor
36 Years Of Experience
Name
MAHENDER REDDY SURAKANTI (MD)
NPI
1417940909
Phone
(260) 203-4188
Address
7806 W JEFFERSON BLVD STE C
Enumeration Date
30 August 2005
Last Update Date
25 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2602034188
Graduation Year
1990 (36 years ago)
PAC ID
7911981030
Professional Enrollment ID
I20040616000686
Address ID
IN468044180FO7806XCXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

528 PSYCHIATRY in IN

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Provider Addresses for MAHENDER REDDY SURAKANTI (MD)

  • 7806, West Jefferson Boulevard, Brierwood Hills, Fort Wayne, Allen County, Indiana, 46804, United States

    FORT WAYNE, IN 46804

    Phone: (260) 203-4188

    Type: Location

  • 800 Broadway Ste 208

    Fort Wayne, IN 468022149

    Phone: (260) 425-3204

    Fax: (260) 425-3206

    Type: Location

  • 10214 CHESTNUT PLAZA DR # 306

    FORT WAYNE, IN 468148970

    Phone: (260) 203-4188

    Fax: (260) 203-5136

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 209 Open Payments records for all available years, with a total value of $3,764.

Total Amount is formed as General ($3,764) + Research ($0) + Ownership ($0) = $3,764.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($627).

Total Amount

$3,764

General + Research + Ownership

Payments

209

Total payment records

General Amount

$3,764

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-06-16

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
I20040616000686IPsychiatryINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes467137$0
99214Established patient office or other outpatient visit, 30-39 minutes16577$0
90791Psychiatric diagnostic evaluation2222$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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Provider's Procedures

MAHENDER REDDY SURAKANTI (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYIN90792Psychiatric diagnostic evaluation with medical services1616

Reviews

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Frequently asked questions

Where can patients find MAHENDER REDDY SURAKANTI (MD)'s NPI?
You can confirm MAHENDER REDDY SURAKANTI (MD) with NPI 1417940909; it appears in the national provider directory.
Is MAHENDER REDDY SURAKANTI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MAHENDER REDDY SURAKANTI (MD)?
The page reflects Psychiatry Physician for MAHENDER REDDY SURAKANTI (MD). Clinical services aligned with this taxonomy classification.
Where is MAHENDER REDDY SURAKANTI (MD)'s primary listing?
We display Fort Wayne, Indiana because that is what the record indicates for MAHENDER REDDY SURAKANTI (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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