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DR. HASSAN TAKI M.D.
NPI 1114911807
Specialist in Fort Wayne, IN

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
4424 E STATE BLVD, FORT WAYNE, IN 46815(260) 483-4433(260) 483-4223 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2022, Dec 22, 2020 (2 updates tracked since 2020).

About Dr. Hassan Taki M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HASSAN TAKI M.D. (NPI 1114911807) is an individual specialist in Fort Wayne, Indiana, licensed in Indiana (01042585) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1114911807
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. HASSAN TAKICredential: M.D.
Location Address4424 E STATE BLVDFort Wayne, IN 46815-6917
Mailing Address4424 E State BlvdFort Wayne, IN 46815-6917 · (260) 483-4433 · Fax (260) 483-4223
Phone(260) 483-4433
Fax(260) 483-4223
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1114911807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 01042585
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4424 E STATE BLVD, Fort Wayne, IN 46815
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Other Identifiers 4

Other1659549475Group Npi
Other1924IN · Physcians Health Plan
Other000000091432IN · Blue Cross/blue Shield
Medicaid3000054923IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hassan Taki M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840255741
PECOS Enrollment IDI20120307000508
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
454 services28 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
261 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
235 services63 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
158 services53 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier11 claims800 services$32.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORT WAYNE MEDICAL INSTITUTE
Specialist
4424 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 483-4433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hassan Taki's NPI number?

The NPI number for Hassan Taki is 1114911807. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Hassan Taki located?

Hassan Taki practices at 4424 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 483-4433.

What is Hassan Taki's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Hassan Taki enrolled in Medicare?

Yes. Hassan Taki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hassan Taki accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Hassan Taki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hassan Taki was last updated on July 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.