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IBRAHIM KHURRAM NAWAZ MD
NPI 1457036022
Internal Medicine in Fort Wayne, IN

Active since June 20, 2023PECOS Enrolled
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845(260) 672-6620(260) 672-6639 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, Jul 23, 2023, Jun 20, 2023 (3 updates tracked since 2023).

About Ibrahim Khurram Nawaz Md NPPES

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

IBRAHIM KHURRAM NAWAZ MD (NPI 1457036022) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01098325A) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457036022
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameIBRAHIM KHURRAM NAWAZCredential: MD
Location Address11109 PARKVIEW PLAZA DR # 117Fort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 672-6620
Fax(260) 672-6639
Sole ProprietorNo
Enumeration DateJune 20, 2023
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1457036022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01098325A
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11109 PARKVIEW PLAZA DR # 117, Fort Wayne, IN 46845
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibrahim Khurram Nawaz 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.

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.

Other Providers at the Same Location NPPES 11

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

EMILY PAIGE YOUNG
Student in an Organized Health Care Education/Training Program
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 266-5700
CIELITO T BIHASA
Physical Therapist
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 355-3235
LYNDSEY BROOKE BALL FNP
Nurse Practitioner (Family)
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (574) 653-1575
ROBERT ALAN PRUETT III AGACNP-BC
Registered Nurse
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 668-0033
ELIANE SUZANNE COLEMAN
Anesthesiologist Assistant
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 266-1000
NARINE SHIRVANIAN DO
Internal Medicine
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 266-8210
KATHERINE WAGNER
Physician Assistant
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (844) 874-6378
MOHAMED ASKAR
Anesthesiologist Assistant
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 425-6030

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 Ibrahim Khurram Nawaz's NPI number?

The NPI number for Ibrahim Khurram Nawaz is 1457036022. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Ibrahim Khurram Nawaz located?

Ibrahim Khurram Nawaz practices at 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845. The listed phone number is (260) 672-6620.

What is Ibrahim Khurram Nawaz's specialty?

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

Is Ibrahim Khurram Nawaz enrolled in Medicare?

Yes. Ibrahim Khurram Nawaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ibrahim Khurram Nawaz was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.