KARIM MOSHREF MD PC
NPI 1265863187
Clinic/Center - Primary Care in Fort Wayne, IN

Active since December 02, 2013CLIA 15D0975862 · Microscopy
2110 LOWER HUNTINGTON RD, FORT WAYNE, IN 46819(260) 478-9960(260) 478-9670 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Karim Moshref Md Pc NPPES

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

KARIM MOSHREF MD PC (NPI 1265863187) is a healthcare organization registered as a primary care in Fort Wayne, Indiana and active in the NPI registry since December 2013. The organization holds a CLIA Microscopy certificate valid through July 18, 2028 and lists Mir Abdul Karim Moshref, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1265863187
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKARIM MOSHREF MD PC
Location Address2110 LOWER HUNTINGTON RDFort Wayne, IN 46819-1235
Mailing Address2110 Lower Huntington RdFort Wayne, IN 46819-1235 · (260) 478-9960 · Fax (260) 478-9670
Fax(260) 478-9670
Organization SubpartNo
Authorized OfficialMir Abdul Karim MoshrefPresident/ceo · (260) 478-9960
Enumeration DateDecember 2, 2013
✔ NPI 1265863187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IN · 01042546
2110 LOWER HUNTINGTON RD, Fort Wayne, IN 46819

Other Identifiers 1

Medicaid100332850IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karim Moshref Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20131210001728Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Karim Moshref MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1073610689
2110 LOWER HUNTINGTON RD
Fort Wayne, IN 46819
(260) 478-9960
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0975862

Karim Moshref MD PC · Ft Wayne, IN
Active · expires Jul 18, 2028
CLIA Number15D0975862
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorKarim Moshref
Laboratory Phone(260) 478-9960
Laboratory LocationKarim Moshref MD PC2110 Lower Huntington Rd, Ft Wayne, IN 46819
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Karim Moshref MD PC's NPI number?

The NPI number for Karim Moshref MD PC is 1265863187. It was assigned to this organization in the NPPES registry on December 2, 2013.

Where is Karim Moshref MD PC located?

Karim Moshref MD PC is located at 2110 Lower Huntington Rd, Fort Wayne, IN 46819. The listed phone number is (260) 478-9960.

What is Karim Moshref MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Karim Moshref MD PC enrolled in Medicare?

Yes. Karim Moshref MD PC is registered in the Medicare PECOS enrollment system.

When is Karim Moshref MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Karim Moshref MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Karim Moshref MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Karim Moshref MD PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0975862) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Karim Moshref MD PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Karim Moshref MD PC 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 Karim Moshref MD PC was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.