Melvin Susanto, MD
Family Medicine Physician · Fort Wayne, IN
Melvin Susanto, MD is a family medicine physician with a practice address in Fort Wayne, Indiana, and NPI 1558939629, issued on Jun 15, 2021. Check the license (Indiana 01091229A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Melvin Susanto
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 01091229A IN
Self-reported in NPPES; status is on the state search - Practice location
- 12404 Lima Crossing Dr, Fort Wayne, IN 46818
- Phone
- (260) 458-3740
- Enumerated
- Jun 15, 2021
- Record last updated
- Sep 9, 2024
- Fax
- (260) 458-3741
- Medicaid ID
- 300052108 IN
- Medicare enrollment
- Enrolled (PECOS I20240910001760); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,506 in Indiana → Look up another NPI →
Also registered at 12404 Lima Crossing Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lauren Arias, FNP-CFamily Nurse Practitioner1124802475
- Brandon BaccariFamily Medicine Physician1588125330
- Duane Johnson, DOFamily Medicine Physician1750392676
- Emily Metzinger, FNPFamily Nurse Practitioner1598444846
Verify Melvin Susanto in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01091229ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
66% fewer Medicare Part D claims than the average family medicine physician in 2024
1,188 Medicare Part D claims for 287 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims. 14 claims were for opioids.
Most prescribed
- Atorvastatin Calcium67 claims
- Levothyroxine Sodium55 claims
- Lisinopril49 claims
- Amlodipine Besylate43 claims
- Gabapentin42 claims
- Metformin Hcl Er36 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $217.57
13 payments; by number, the most common kind was food and beverage; the largest payer was Lundbeck LLC. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Lutheran Medical Group LLCFort Wayne, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Melvin Susanto among 3,506 family medicine physician records in Indiana
Melvin Susanto, MD is one of 3,506 family medicine physician records with a practice address in Indiana. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 92% of them.
- NPI issued2021 · 92% of these records are older, 6% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2021 · median 2005 among the 2,196 with a school on file
- Record last updated2024 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
249 family medicine physician records list a practice address in Fort Wayne
They are 249 of the 9,203 NPPES records with a practice address in Fort Wayne, and 3,506 family medicine physician records in Indiana.
All 3,506 in Indiana → Every provider in Fort Wayne → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Brandon BaccariFort Wayne, IN 468181588125330
- Harold Bacchus, MDFort Wayne, IN 468181881654523
- Chad Christman, D.O.Fort Wayne, IN 468181841262714
- Crystal Jencks, MDFort Wayne, IN 468181508877788
- Duane Johnson, DOFort Wayne, IN 468181750392676
- Todd Page, MDFort Wayne, IN 468181184622367
- Stephanie Ruales, MDFort Wayne, IN 468181659648582
- Lauren Stoffel, DOFort Wayne, IN 468181063827053
Common questions
What is Melvin Susanto, MD's NPI number?
Melvin Susanto, MD's National Provider Identifier (NPI) is 1558939629, issued on Jun 15, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Melvin Susanto, MD located?
The NPPES record lists a practice address at 12404 Lima Crossing Dr, Fort Wayne, IN, 46818. Phone: (260) 458-3740. Providers update this record themselves, so call before visiting.
How can I verify Melvin Susanto, MD's license?
NPPES lists Indiana license number 01091229A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Melvin Susanto, MD prescribe under Medicare Part D?
In 2024, Melvin Susanto, MD had 1,188 Medicare Part D claims for 287 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.