Doctor profile · Federal record

Dr. Prabij Dhungana

Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Fort Wayne, IN

  • NPI 1558866202
  • Accepts Medicare
  • MIPS 81.2 / 100 · 2023
  • 12 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
11109 Parkview Plaza Dr
Fort Wayne, IN 468451701
(260) 266-2020
fax (260) 266-2009
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701

Credentials & registration

NPPES · NUCC
NPI registered
March 2018 — 8 yrs on file
Profile last updated
October 14, 2022
Year of graduation
2014 — 12 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Indiana #01085565A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1558866202. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
576
Distinct HCPCS
6
Medicare allowed
$50,389
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 340 147 $74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 84 48 $111
99239 Hospital discharge day management, more than 30 minutes 81 81 $107
99238 Hospital discharge day management, 30 minutes or less 44 44 $75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 14 14 $163
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 13 13 $121

In context: peer comparison

Among 66 peers in Fort Wayne Internal Medicine Physician, average services per provider: 87. This provider delivers 6.6× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
86
Patients
59
Total drug cost
$821
Drug Type Claims Patients Total cost
Pantoprazole Sodium Generic 18 14 $212
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 12 12 $123
Atorvastatin Calcium Generic 12 0 $84
Cefdinir Generic 11 11 $205
Furosemide Generic 11 0 $22
Levofloxacin Generic 11 11 $106
Prednisone Generic 11 11 $70

Frequently asked questions

Auto-generated from federal data
What is Dr. Prabij Dhungana's medical specialty?
Dr. Prabij Dhungana practices Internal Medicine Physician in Fort Wayne, IN.
Where does Dr. Prabij Dhungana practice?
Dr. Prabij Dhungana practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 468451701. Office phone: 2602662020.
What is Dr. Prabij Dhungana's NPI?
Dr. Prabij Dhungana's National Provider Identifier (NPI) is 1558866202, issued by NPPES.
Does Dr. Prabij Dhungana accept Medicare assignment?
Yes. Dr. Prabij Dhungana accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prabij Dhungana commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99239). Source: CMS Medicare Physician & Other Practitioners file.