NPI: 1225684368 · FORT WAYNE, IN 46804 · Ambulatory Surgical Clinic/Center · NPI assigned 08/14/2019
| Authorized Official | TANNA, MANISH (MD) |
| NPI Enumeration Date | 08/14/2019 |
Other providers sharing the same authorized official: TANNA, MANISH
| Provider | City | State | Total Paid |
|---|---|---|---|
| NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA, INC | FORT WAYNE | IN | $3.31M |
| NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD. | OAK BROOK | IL | $418.90 |
| WILLOW SPRINGS SURGERY CENTER, LLC | ADDISON | IL | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 16 | $4K |
| 2023 | 65 | $20K |
| 2024 | 16 | $11K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 36902 | 97 | 73 | $35K |