Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Pranav Kumar Panchatsharam, DO

Individual provider Urology Physician · NPI 1851957526

Dr. Pranav Kumar Panchatsharam, DO is an Urology in Fort Wayne, Indiana. Graduated from Campbell Univ School of Osteopathic Medicine in 2019, 7 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
7
Trained at
Campbell Univ School of Osteopathic Medicine
Licensed in
IN
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

800 Broadway Ste 200
Fort Wayne, IN 46802-2149
Phone: (260) 458-3410
Fax: (260) 425-2881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27351 Dequindre Rd, Madison Heights, MI 48071-3487 — (248) 967-7129

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 02007800A (IN)

Record details

NPI number1851957526
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 17, 2019
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolCAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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