FORT WAYNE MEDICAL INSTITUTE
NPI 1659549475
Specialist in Fort Wayne, IN

Active since February 14, 2008
4424 E STATE BLVD, FORT WAYNE, IN 46815(260) 483-4433(260) 483-4223 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1659549475
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFORT WAYNE MEDICAL INSTITUTE
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
Fax(260) 483-4223
Organization SubpartNo
Authorized OfficialHassan TakiOwner · (260) 483-4433
Enumeration DateFebruary 14, 2008
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
NPI 1659549475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IN · 01042585
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4424 E STATE BLVD, Fort Wayne, IN 46815

Other Identifiers 2

Other1114911807Provider Npi
Medicaid0963453OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Specialist
4424 E STATE BLVD
FORT WAYNE, IN 46815

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.

What insurance does Fort Wayne Medical Institute accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian 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.