Active NPI
Anuradha G Bommakanti, M.D.
- Pulmonary Disease Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME180941
- 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.
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
VI
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
GA, Internal Medicine
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
AR, Internal Medicine
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Croix, VI
- NPI 1740238534
-
- Otolaryngology Physician
- Conway, AR
- NPI 1760058895
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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 SciencesSavannah Multispecialty Associates LLC
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
- T J Samson Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.3 of 100
- Quality
- 74.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, VI, GA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 4
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220823000287 | KY | Practitioner - Pulmonary Disease | 2961884374 | Reassigns benefits to 1 organization |
| I20230331002688 | VI | Practitioner - Critical Care (Intensivists) | 2961884374 | Reassigns benefits to 1 organization |
| I20231228002886 | GA | Practitioner - Pulmonary Disease | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01087946B | IN | MD | Internal Medicine Physician |
| ME180941 | FL | MD | Pulmonary Disease Physician |
| 01087946A | IN | MD | Pulmonary Disease Physician |
Practice roles (11 of 18)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T J Samson Community Hospital | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Science | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Savannah Multispecialty Associates, LLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Internal Medicine | Current | Accepting new patients |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Piedmont Specialty Hospital Billing LLC | Internal Medicine | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.