DR. HLA HLA WAI MD
NPI 1407473440
Internal Medicine in Fort Wayne, IN

Active since June 25, 2020PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 672-6620(260) 672-6639 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2023, Aug 10, 2023, Jun 25, 2020 (3 updates tracked since 2020).

About Dr. Hla Hla Wai Md NPPES

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

DR. HLA HLA WAI MD (NPI 1407473440) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01090547A) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1407473440
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HLA HLA WAICredential: MD
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 672-6639
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 25, 2020
Last NPPES UpdateOctober 2, 20233 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1407473440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IN · 01090547A Licensed in IL · 125.075784
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Accepted 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. Hla Hla Wai Md 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 ID2264852250
PECOS Enrollment IDI20230707001164
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
310 services122 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
142 services68 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
58 services57 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
35 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 20

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

Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

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 Hla Wai's NPI number?

The NPI number for Hla Wai is 1407473440. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Hla Wai located?

Hla Wai practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 672-6620.

What is Hla Wai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hla Wai enrolled in Medicare?

Yes. Hla Wai 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 Hla Wai accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Hla Wai 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.

Is Hla Wai affiliated with any hospitals?

According to CMS data, Hla Wai is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital and Parkview Noble Hospital.

When was this NPI record last updated?

The NPPES record for Hla Wai was last updated on October 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.