Individual provider Active NPI

Anuradha G Bommakanti, M.D.

  • Pulmonary Disease Physician
  • Fort Wayne, IN
National Provider Identifier
1003265455
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME180941 Issued in FL
Practice address
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone
(260) 435-7001
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical Sciences 1,159 clinicians
Savannah Multispecialty Associates LLC 129 clinicians

Practice addresses (Care Compare)

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 273-1100

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VI, GA, AR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 4

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220823000287 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2961884374 Reassigns benefits to 1 organization
I20230331002688 VI Practitioner - Critical Care (Intensivists) 2961884374 Reassigns benefits to 1 organization
I20231228002886 GA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2961884374 Reassigns benefits to 2 organizations
I20250428002377 AR Practitioner - Critical Care (Intensivists) 2961884374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01087946BINMDInternal Medicine Physician
ME180941FLMDPulmonary Disease Physician
01087946AINMDPulmonary Disease Physician

Practice roles (11 of 18)

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital CurrentSince Aug 8, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 20, 2025 Accepting new patients
University of Arkansas for Medical Science CurrentSince Apr 20, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Feb 19, 2023 Accepting new patients
Lutheran Medical Group LLC Internal Medicine CurrentSince Jul 6, 2022 Accepting new patients
Savannah Multispecialty Associates, LLC CurrentSince Sep 12, 2025 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine Current Accepting new patients
Lutheran Medical Group LLC CurrentSince Jul 6, 2022 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Feb 19, 2023 Accepting new patients
Piedmont Specialty Hospital Billing LLC Internal Medicine CurrentSince Dec 18, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#532
Little Rock, AR 72205
Phone (501) 686-5311

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Networks

  • KY PPO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • OH PPO
  • KY PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • IL PPO Downstate
  • IL HMO C-SNP

Specialties & licenses 9

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME180941 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME180941 FL
Internal Medicine Physician 207R00000X E-19237 AR
Student in an Organized Health Care Education/Training Program 390200000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01087946A IN
Pulmonary Disease Physician 207RP1001X 01087946A IN
Internal Medicine Physician 207R00000X 01087946B IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X E-19237 AR
Pulmonary Disease Physician 207RP1001X E-19237 AR

Addresses

NPPES NPI Registry

Primary practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Mailing address

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Other practice location 1

4301 W Markham St # 532
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 2

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (813) 745-7282

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2026.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1003265455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-435-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-435-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 532",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12902 Usf Magnolia Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336129416",
            "country_code": "US",
            "telephone_number": "813-745-7282",
            "fax_number": "813-449-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMMAKANTI",
        "first_name": "ANURADHA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME180941",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME180941",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-19237",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01087946A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01087946A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01087946B",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AR",
            "license": "E-19237",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E-19237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.