Doctor profile · Federal record
Dr. Sampath Santhanam Ethiraj, M.B.B.S
Internal Medicine Physician (CMS: Internal Medicine) · Internal Medicine Physician · Fort Wayne, IN
- NPI 1700033727
- Accepts Medicare
- MIPS 81.2 / 100 · 2023
- 24 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
11109 Parkview Plaza Dr
Fort Wayne, IN 468451701
(260) 672-6620
fax (260) 672-6639 - Mailing address
-
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701
Credentials & registration
- NPI registered
- August 2008 — 18 yrs on file
- Profile last updated
- October 3, 2022
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State licenses (2)
- Indiana #01072529A · Michigan #4301092338
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700033727. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
303
Distinct HCPCS
4
Medicare allowed
$28,750
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 178 | 91 | $75 | |
99239 |
Hospital discharge day management, more than 30 minutes | 64 | 59 | $109 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 32 | 22 | $113 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 29 | 29 | $165 |
In context: peer comparison
Among 66 peers in Fort Wayne Internal Medicine Physician, average services per provider: 87. This provider delivers 3.5× the peer median.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, INC | 1 | $21.68 |
By nature of payment
Frequently asked questions
What is Dr. Sampath Santhanam Ethiraj's medical specialty?
Dr. Sampath Santhanam Ethiraj practices Internal Medicine Physician in Fort Wayne, IN.
Where does Dr. Sampath Santhanam Ethiraj practice?
Dr. Sampath Santhanam Ethiraj practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 468451701. Office phone: 2606726620.
What is Dr. Sampath Santhanam Ethiraj's NPI?
Dr. Sampath Santhanam Ethiraj's National Provider Identifier (NPI) is 1700033727, issued by NPPES.
Does Dr. Sampath Santhanam Ethiraj accept Medicare assignment?
Yes. Dr. Sampath Santhanam Ethiraj accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sampath Santhanam Ethiraj commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99239); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.