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

Dr. Sampath Kumar Santhanam Ethiraj, MBBS

Individual provider Internal Medicine Physician · NPI 1700033727

Dr. Sampath Kumar Santhanam Ethiraj, MBBS is an Internal Medicine in Fort Wayne, Indiana. Qualified in 2002, 24 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
24
Licensed in
IN, MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 672-6620
Fax: (260) 672-6639
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01072529A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301092338 (MI)

Record details

NPI number1700033727
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorYes
NPI enumeratedAugust 20, 2008
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne