Active NPI 1568695054 Individual Practitioner Female Practitioner

Reena Thapa

Internal Medicine • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Reena Thapa is a certified Internal Medicine practicing in Fort Wayne, IN. With approximately 21 years of clinical experience since completing medical education in 2005, Reena Thapa delivers high-quality medical care to the local community at 11104 PARKVIEW CIRCLE DR STE 20.

Reena Thapa is affiliated with Parkview Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11104 Parkview Circle Dr Ste 20

Fort Wayne, IN 468451733

Telephone 2604256940

Fax 2604256949

Associated Practice Facility / Clinic

🏢 Midwest Community Health Associates, Inc. Facility NPI 1619915170

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fort Wayne, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +3.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

219 Specialists

Practicing in Fort Wayne, IN (2204 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thapa (21 Years) 21 Yrs

Fort Wayne Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	115	44	$181.00	$100.23
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	114	107	$261.00	$124.16
99306 Initial nursing facility visit, typically 45 minutes per day	53	50	$341.00	$169.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	50	31	$137.00	$69.22
99316 Nursing facility discharge management, more than 30 minutes	14	13	$209.00	$121.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	147	58	$181.00	$101.23
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	94	88	$261.00	$126.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	83	46	$137.00	$70.34
99306 Initial nursing facility visit, typically 45 minutes per day	52	48	$341.00	$173.33
99316 Nursing facility discharge management, more than 30 minutes	13	13	$209.00	$124.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$261.00	$126.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	121	112	$261.00	$121.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	98	59	$137.00	$64.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	85	38	$181.00	$85.79
99306 Initial nursing facility visit, typically 45 minutes per day	59	52	$341.00	$156.26
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	43	40	$261.00	$121.49
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	21	16	$98.00	$41.20
99315 Nursing facility discharge day management, 30 minutes or less	16	16	$145.00	$68.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	183	70	$137.00	$65.47
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	153	53	$181.00	$86.70
99306 Initial nursing facility visit, typically 45 minutes per day	87	74	$341.00	$157.43
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	77	75	$261.00	$123.56
99316 Nursing facility discharge management, more than 30 minutes	28	26	$209.00	$100.17
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	26	18	$98.00	$41.84
99306 Initial nursing facility visit, typically 45 minutes per day	20	17	$341.00	$158.90
99315 Nursing facility discharge day management, 30 minutes or less	18	17	$145.00	$69.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	15	$261.00	$123.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	184	69	$137.00	$67.02
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	102	95	$261.00	$125.36
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	67	43	$98.00	$42.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	38	25	$181.00	$88.43
99306 Initial nursing facility visit, typically 45 minutes per day	28	27	$341.00	$157.56
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	28	26	$261.00	$126.39
99315 Nursing facility discharge day management, 30 minutes or less	21	21	$145.00	$71.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	103	99	$261.00	$125.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	103	50	$181.00	$87.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	80	50	$137.00	$65.96
99306 Initial nursing facility visit, typically 45 minutes per day	31	30	$341.00	$160.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	22	$261.00	$125.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	86	$140.00	$69.17
99239 Hospital discharge day management, more than 30 minutes	64	62	$190.00	$102.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	60	27	$137.00	$65.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	38	$185.00	$99.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	28	13	$181.00	$86.66
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	26	26	$261.00	$124.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$340.00	$192.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	338	174	$152.00	$68.72
99239 Hospital discharge day management, more than 30 minutes	108	108	$233.00	$102.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	62	$216.00	$99.49
99225 Subsequent observation care, typically 25 minutes per day	18	15	$146.00	$69.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$404.00	$192.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$311.00	$130.09
99217 Hospital observation care on day of discharge	11	11	$165.00	$69.20

Medical Specialties & State Licenses

CMS Verified: 2022-11-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 01070825A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201062690 (IN)

Commercial Insurance / Payer ID Anthem

000000765825 (IN)

Hospital & Practice Group Affiliations

Parkview Health System Inc

11109 Parkview Plaza Dr, Fort Wayne, IN 468451701

Phone: 2604256030

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Angela Mcchessney , NP

Nurse Practitioner

NPI 1013308352

Nurse Practitioner

James Fuhrmann

Nurse Practitioner

NPI 1174038202

Dr. Richard Nielsen , MD

Internal Medicine - Nephrology

NPI 1619207941

Doctor of Medicine (M.D.)

Blair Fifer

Nurse Practitioner

NPI 1790169233

Leona Beachy , FNP

Nurse Practitioner

NPI 1962163840

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 15, 2022

Registered at 11104 PARKVIEW CIRCLE DR STE 20, FORT WAYNE, IN 468451733 (Tel: 2604256940)

📍

Updated Business Mailing Address November 02, 2022

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

✅

NPI Profile Active December 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2016

Registered at 11109 PARKVIEW PLAZA DR., FORT WAYNE, IN 468451701 (Tel: 2602662020)

📍

Updated Business Mailing Address December 05, 2016

Registered at 3926 NEW VISION DR, SUITE 1, FORT WAYNE, IN 468451712 (Tel: 2602668211)

👤

Provider Name / Credentials Updated December 05, 2016

Recorded as REENA THAPA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2016

Internal Medicine (License #01070825A in IN)

🟢

Initial NPI Registration & Enumeration August 31, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568695054

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2009

Last Update: November 15, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.