FAISAL RASOOLI OD
NPI 1821831454
Optometrist in Fort Wayne, IN
About Faisal Rasooli Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAISAL RASOOLI OD (NPI 1821831454) is an individual optometrist in Fort Wayne, Indiana, licensed in Indiana (18004527A) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Indiana University - School Of Optometry (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Faisal Rasooli Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Faisal Rasooli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46835
- Reassigned Medicare billing, Indiana enrollment
Warsaw, IN 46582
- Reassigned Medicare billing, Indiana enrollment
- 44 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Faisal Rasooli's NPI number?
The NPI number for Faisal Rasooli is 1821831454. It was assigned to this individual provider in the NPPES registry on June 12, 2024.
Where is Faisal Rasooli located?
Faisal Rasooli practices at 3401 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 426-3095.
What is Faisal Rasooli's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Faisal Rasooli enrolled in Medicare?
Yes. Faisal Rasooli 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 organizations bill Medicare for Faisal Rasooli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Faisal Rasooli reassigns Medicare benefits to 2 organizations: Hzra Optometry, LLC (Fort Wayne, IN) and Aeg Indiana Professional PC (Warsaw, IN). 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 Faisal Rasooli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Faisal Rasooli accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 7 other insurers list Faisal Rasooli 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 Faisal Rasooli was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Faisal Rasooli, OD · NPI 1821831454
Optometrist provider in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since June 12, 2024.
## Identity
- **NPI:** 1821831454 (Entity type: Individual)
- **Enumerated:** June 12, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18004527A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 LAKE AVE, Fort Wayne, IN 46805-5500
- **Phone:** (260) 426-3095
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hzra Optometry, LLC (NPI 1891687216, Fort Wayne, IN); Aeg Indiana Professional PC (NPI 1043944127, Warsaw, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University - School Of Optometry, class of 2024
## Record status
- **NPPES last updated:** August 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821831454) · Data from the CMS NPPES public registry.