Dr Paul Traianos Kaplanis, MD - Medicare Family Practice in Fort Wayne, IN

Dr Paul Traianos Kaplanis, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. He went to Indiana University School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Extended Care Specialists, Inc, Eventus Wholehealth Midwest Inc and his current practice location is 6130 Trier Rd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 422-2481.

Dr Paul Traianos Kaplanis is licensed to practice in Indiana (license number 01031926A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497860167.

Contact Information

Dr Paul Traianos Kaplanis, MD
6130 Trier Rd,
Fort Wayne, IN 46815-5339
(260) 422-2481
(260) 969-3067

Map and Direction




Physician's Profile

Full NameDr Paul Traianos Kaplanis
GenderMale
SpecialityFamily Practice
Experience42 Years
Location6130 Trier Rd, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paul Traianos Kaplanis attended and graduated from Indiana University School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1497860167
  • Provider Enumeration Date: 08/20/2006
  • Last Update Date: 10/23/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4981767696
  • Enrollment ID: I20090107000089

Medical Identifiers

Medical identifiers for Dr Paul Traianos Kaplanis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497860167NPI-NPPES
000000595578OtherINANTHEM
100080210MedicaidIN
080130049OtherINMEDICARE RR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01031926A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Auburn VillageAuburn, INNursing home
Milton Home, TheSouth bend, INNursing home
Grey Stone Health & Rehabilitation CenterFort wayne, INNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Extended Care Specialists, Inc2466407713195
Eventus Wholehealth Midwest Inc4183040470122

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Paul Traianos Kaplanis allows following entities to bill medicare on his behalf.
Entity NameExtended Care Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20050318000726
Entity NameEventus Wholehealth Midwest Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386252757
PECOS PAC ID: 4183040470
Enrollment ID: O20200818000277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Traianos Kaplanis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Paul Traianos Kaplanis, MD
1234 E Dupont Rd, Suite 3,
Fort Wayne, IN 46825-1545

Ph: (260) 373-9700
Dr Paul Traianos Kaplanis, MD
6130 Trier Rd,
Fort Wayne, IN 46815-5339

Ph: (260) 422-2481

Reviews and Comments


Family Medicine Doctors in Fort Wayne, IN

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Phone: 260-423-2675    Fax: 260-423-6621
Dr. Mary Ann O'brien, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-496-6602    Fax: 260-969-3065

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.