Prabij Dhungana
NPI 1558866202 · Internal Medicine Physician · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabij Dhungana is a Internal Medicine Physician provider in Fort Wayne, IN (NPI 1558866202).
Provider details
- NPI number
- 1558866202
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
637 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 302 | $110 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 199 | $73 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 136 | $106 |
Typical Medicare-allowed amounts for these services range $73–$110 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 29 | 27 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 20 | 19 |
| Levofloxacin | 17 | 16 |
| Cefdinir | 14 | 13 |
| Atorvastatin Calcium | 13 | — |
| Azithromycin | 13 | — |
| Furosemide | 13 | 11 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2022-10-14
- Certified
- 2022-10-14
Frequently asked questions
- What is Prabij Dhungana's NPI number?
- Prabij Dhungana's National Provider Identifier (NPI) is 1558866202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabij Dhungana's specialty?
- Prabij Dhungana is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prabij Dhungana located?
- Prabij Dhungana's practice location on file with NPPES is 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701.
- What is Prabij Dhungana's phone number?
- The practice phone number listed in the NPPES registry for Prabij Dhungana is (260) 266-2020.
- Does Prabij Dhungana accept Medicare?
- Prabij Dhungana is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabij Dhungana's NPI active?
- Yes — Prabij Dhungana's NPI (1558866202) is active in the NPPES registry as of the last update on 2022-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.