Active NPI
Mohsin Hasnain, MD
- Internal Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01063362A
- Practice address
- 2121 Lake Ave
Fort Wayne, IN 46805-5100 - Phone
- (260) 426-5431
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 114591 | MO | |
| Hospitalist Physician | 208M00000X | 01063362A | IN | |
| Internal Medicine Physician | 207R00000X | 01063362A | IN | Primary |
Addresses
Primary practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Mailing address
3633 Heron Preserve Trail
Fort Wayne, IN 46814-7593
Phone (260) 625-9982
Other practice location 1
500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-7131
Other practice location 2
303 S Main St
Bluffton, IN 46714-2503
Phone (260) 824-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200294350 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114591 | MO | MD | Internal Medicine Physician |
Practice roles
Locations
5208 Reliable Pkwy
Chicago, IL 60686
303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580
1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
275 W 12th St
Peru, IN 46970
Phone (317) 472-8022
500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
1900 Roosevelt Rd
#2000
Valparaiso, IN 46383
Phone (219) 263-4900
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
Internal Medicine
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Emergency Medicine Physician
- La Porte, IN
- NPI 1144691478
-
dba St. Francis Healthcare Campus
- Critical Access Hospital
- Breckenridge, MN
- NPI 1639162381
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1952356883
-
- Hospitalist Physician
- Peru, IN
- NPI 1427298330
-
- Primary Care Nurse Practitioner
- Lagrange, IN
- NPI 1366859779
-
- Emergency Medicine Physician
- Fulton, MO
- NPI 1922054543
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Van Wert, OH
- NPI 1144556184
-
dba Wright Memorial Hospital
- Emergency Medicine Physician
- Trenton, MO
- NPI 1851572234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1093779829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 HERON PRESERVE TRAIL",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468147593",
"telephone_number": "260-625-9982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 LAKE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055100",
"telephone_number": "260-426-5431"
}
],
"practiceLocations": [
{
"address_1": "500 W Votaw St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "IN",
"postal_code": "473711322",
"country_code": "US",
"telephone_number": "260-726-7131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 S Main St",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "IN",
"postal_code": "467142503",
"country_code": "US",
"telephone_number": "260-824-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASNAIN",
"first_name": "MOHSIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "114591",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01063362A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01063362A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200294350",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.