FORT WAYNE MEDICAL INSTITUTE
NPI 1659549475
Specialist in Fort Wayne, IN
About Fort Wayne Medical Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT WAYNE MEDICAL INSTITUTE (NPI 1659549475) is a healthcare organization registered as a specialist in Fort Wayne, Indiana and active in the NPI registry since February 2008. The organization lists Hassan Taki, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fort Wayne Medical Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fort Wayne Medical Institute, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fort Wayne Medical Institute's NPI number?
The NPI number for Fort Wayne Medical Institute is 1659549475. It was assigned to this organization in the NPPES registry on February 14, 2008.
Where is Fort Wayne Medical Institute located?
Fort Wayne Medical Institute is located at 4424 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 483-4433.
What is Fort Wayne Medical Institute's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Fort Wayne Medical Institute enrolled in Medicare?
Yes. Fort Wayne Medical Institute is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fort Wayne Medical Institute?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Allergy/Immunology, reassign their Medicare billing to Fort Wayne Medical Institute. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fort Wayne Medical Institute accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Fort Wayne Medical Institute 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 Fort Wayne Medical Institute was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Fort Wayne Medical Institute · NPI 1659549475
Specialist organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since February 14, 2008.
## Identity
- **NPI:** 1659549475 (Entity type: Organization)
- **Enumerated:** February 14, 2008
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Hassan Taki, OWNER
## Practice location
- **Address:** 4424 E STATE BLVD, Fort Wayne, IN 46815-6917
- **Phone:** (260) 483-4433 · **Fax:** (260) 483-4223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Allergy/Immunology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2020
- **Other identifiers:** Other 1114911807; Medicaid 0963453 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1659549475) · Data from the CMS NPPES public registry.