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

Praveen Kollipara, MD

Individual provider Medical Oncology Physician · NPI 1073515987

Praveen Kollipara, MD is a Hematology/Oncology in Fort Wayne, Indiana. Qualified in 1986, 40 years ago. Practices with American Oncology Partners PA, a 383-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
40
Licensed in
IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159
Phone: (260) 484-8830
Fax: (260) 483-1911
Show map & directions

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

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 01046718A (IN)
Medical Oncology Physician Taxonomy 207RX0202X · Licence 01046718A (IN)

Record details

NPI number1073515987
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice American Oncology Partners Pa — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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