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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOHAMED TAKI M.D.
NPI 1447604368
Allergy & Immunology in Fort Wayne, IN

Active since April 17, 2016PECOS 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: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Jul 13, 2019 (2 updates tracked since 2019).

About Mohamed Taki M.d. NPPES

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

MOHAMED TAKI M.D. (NPI 1447604368) is an individual allergy & immunology provider in Fort Wayne, Indiana, licensed in Indiana (01086621A) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1447604368
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameMOHAMED 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 CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateApril 17, 2016
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1447604368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in IN · 01086621A
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4424 E STATE BLVD, Fort Wayne, IN 46815
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohamed 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 ID8022300623
PECOS Enrollment IDI20211110001004
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 Reassignment

Medicare enrollment records show Mohamed Taki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fort Wayne Medical Institute
Same address
Specialist
4424 E STATE BLVD
Fort Wayne, IN 46815
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group
NPI 1659549475 (260) 483-4433

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

Other Providers at the Same Location NPPES 2

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

DR. HASSAN TAKI M.D.
Specialist
4424 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 483-4433
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 Mohamed Taki's NPI number?

The NPI number for Mohamed Taki is 1447604368. It was assigned to this individual provider in the NPPES registry on April 17, 2016.

Where is Mohamed Taki located?

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

What is Mohamed Taki's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Mohamed Taki enrolled in Medicare?

Yes. Mohamed 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.

Which organization bills Medicare for Mohamed Taki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Taki reassigns Medicare benefits to Fort Wayne Medical Institute (Fort Wayne, IN). The 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 Mohamed Taki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Taki accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mohamed 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 Mohamed Taki was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.