SHAH FAISAL
NPI 1134092851
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since September 29, 2025
1005 ALMDALE DR, FORT WAYNE, IN 46818(260) 804-0792 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shah Faisal NPPES

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

SHAH FAISAL (NPI 1134092851) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (28274111A) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1134092851
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSHAH FAISAL
Location Address1005 ALMDALE DRFort Wayne, IN 46818-8427
Mailing Address1005 Almdale DrFort Wayne, IN 46818-8427 · (260) 804-0792
Sole ProprietorYes
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 28, 2025
NPI 1134092851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IN · 28274111A
1005 ALMDALE DR, Fort Wayne, IN 46818

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shah Faisal's NPI number?

The NPI number for Shah Faisal is 1134092851. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Shah Faisal located?

Shah Faisal practices at 1005 Almdale Dr, Fort Wayne, IN 46818. The listed phone number is (260) 804-0792.

What is Shah Faisal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shah Faisal was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.