AMIRUMMUL B NUSAIREE MD
NPI 1376983296
Family Medicine in Fort Wayne, IN

Q: What is Amirummul Nusairee's NPI number?

The NPI number for Amirummul Nusairee is 1376983296. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Q: What is Amirummul Nusairee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 25, 2013PECOS Enrolled

750 BROADWAY, SUITE 150, FORT WAYNE, IN 46802(260) 423-2682(260) 422-4326 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Amirummul B Nusairee Md NPPES

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

AMIRUMMUL B NUSAIREE MD (NPI 1376983296) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (11017435A) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376983296

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAMIRUMMUL B NUSAIREECredential: MD

Location Address750 BROADWAY, SUITE 150Fort Wayne, IN 46802-1411

Mailing Address750 Broadway, Suite 350Fort Wayne, IN 46802-1411 · (260) 423-2675 · Fax (260) 399-4243

Phone(260) 423-2682

Fax(260) 422-4326

Sole ProprietorNo

Enumeration DateJune 25, 2013

Last NPPES UpdateMarch 22, 2016

✔ NPI 1376983296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 11017435A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

750 BROADWAY, Fort Wayne, IN 46802

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amirummul B Nusairee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Amirummul Nusairee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Verity Medical Foundation

1,975 mi

Multi-Specialty

625 LINCOLN AVE
San Jose, CA 95126

Reassigned Medicare billing, California enrollment
133 clinicians in this Medicare group

NPI 1326312067 (405) 278-3000

Circle Medical Care Of California

1,990 mi

Family Medicine

333 1ST ST STE A
San Francisco, CA 94105

Reassigned Medicare billing, California enrollment
178 clinicians in this Medicare group

NPI 1134596091 (888) 803-3370

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

STEVEN CARL SCHWIETERMAN MD

Family Medicine

750 BROADWAY, SUITE 350
FORT WAYNE, IN 46802

Allen County (260) 423-2682

FORT WAYNE MEDICAL EDUCATION PROGRAM

Family Medicine

750 BROADWAY, SUITE 350
FORT WAYNE, IN 46802

Allen County (260) 423-2675

AMY DAWSON MD

Family Medicine

750 BROADWAY, SUITE 150
FORT WAYNE, IN 46802

Allen County (260) 423-2682

BRADEN DOUGLAS PARMER MD

Family Medicine

750 BROADWAY, SUITE 350
FORT WAYNE, IN 46802

Allen County (260) 423-2675

AUBREY ANN BACCARI PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

750 BROADWAY
FORT WAYNE, IN 46802

Allen County (260) 399-4249

AARON KIMO CORAY DO

Family Medicine

750 BROADWAY, SUITE 150
FORT WAYNE, IN 46802

Allen County (260) 423-2682

MICHELLE ALISON BOJRAB MS,RDN,CD

Dietitian, Registered

750 BROADWAY, SUITE 350
FORT WAYNE, IN 46802

Allen County (260) 423-2675

BARBIANNA GINGER DAWKINS-MENSAH MD

Family Medicine

750 BROADWAY, SUITE 350
FORT WAYNE, IN 46802

Allen County (260) 423-2675

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 Amirummul Nusairee's NPI number?

The NPI number for Amirummul Nusairee is 1376983296. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Amirummul Nusairee located?

Amirummul Nusairee practices at 750 Broadway Suite 150, Fort Wayne, IN 46802. The listed phone number is (260) 423-2682.

What is Amirummul Nusairee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amirummul Nusairee enrolled in Medicare?

Yes. Amirummul Nusairee is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amirummul Nusairee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amirummul Nusairee reassigns Medicare benefits to 2 organizations: Verity Medical Foundation (San Jose, CA) and Circle Medical Care Of California (San Francisco, CA). Each 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 Amirummul Nusairee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amirummul Nusairee was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.