AWSSE HARITH HAMED AL-ANI MBBS
NPI 1679033641
Internal Medicine - Nephrology in Fort Wayne, IN

Active since March 25, 2019PECOS Enrolled
7836 W JEFFERSON BLVD STE 101, FORT WAYNE, IN 46804(260) 494-3484(260) 969-0188 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2026, Jul 28, 2026, Jun 10, 2024 and 1 more (4 updates tracked since 2023).

About Awsse Harith Hamed Al-ani Mbbs NPPES

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

AWSSE HARITH HAMED AL-ANI MBBS (NPI 1679033641) is an individual nephrology provider in Fort Wayne, Indiana, licensed in Indiana (036.169608) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1679033641
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameAWSSE HARITH HAMED AL-ANICredential: MBBS
Location Address7836 W JEFFERSON BLVD STE 101Fort Wayne, IN 46804-4178
Mailing Address7836 W Jefferson Blvd Ste 101Fort Wayne, IN 46804-4178 · (260) 494-3484 · Fax (260) 969-0188
Fax(260) 969-0188
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 25, 2019
Last NPPES UpdateAugust 25, 20264 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1679033641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in IN · 036.169608✔ Licensed in OH · 35.156178
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
7836 W JEFFERSON BLVD STE 101, Fort Wayne, IN 46804

Secondary Practice Location 1

Location 11833 Magnavox WayFort Wayne, IN 46804-1539 · Phone (260) 918-0997 · Fax (260) 459-7885

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Awsse Harith Hamed Al-ani Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678016482
PECOS Enrollment IDI20260410002279, I20260415001632
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 Reassignments

3

Medicare enrollment records show Awsse Al-ani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Surgical
1833 MAGNAVOX WAY # 100
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 8 clinicians in this Medicare group
Nephrology
11104 PARKVIEW CIRCLE DR STE 330
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 69 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois and Maryland enrollments
  • 712 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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 17

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

Nurse Practitioner (Family)
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804
Nurse Practitioner
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804
Physician Assistant
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804
Nurse Practitioner (Acute Care)
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804
Internal Medicine (Nephrology)
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804
Nurse Practitioner
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804
Internal Medicine (Nephrology)
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804

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 Awsse Al-ani's NPI number?

The NPI number for Awsse Al-ani is 1679033641. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Awsse Al-ani located?

Awsse Al-ani practices at 7836 W Jefferson Blvd Ste 101, Fort Wayne, IN 46804. The listed phone number is (260) 494-3484.

What is Awsse Al-ani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Awsse Al-ani enrolled in Medicare?

Yes. Awsse Al-ani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Awsse Al-ani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Awsse Al-ani reassigns Medicare benefits to 3 organizations: Fort Wayne Vascular Care LLC (Fort Wayne, IN), Nephrology Associates Of Northern Indiana, Inc (Fort Wayne, IN) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Awsse Al-ani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Awsse Al-ani accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Awsse Al-ani 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 Awsse Al-ani affiliated with any hospitals?

According to CMS data, Awsse Al-ani is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Awsse Al-ani was last updated on August 25, 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.