Individual provider Active NPI

Mohsin Hasnain, MD

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1093779829
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01063362A Issued in IN
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

Updated by the provider on Aug 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200294350MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050120000407 MN Practitioner - Internal Medicine 2365491073 Reassigns benefits to 1 organization
I20070719000487 IN Practitioner - Internal MedicinePractitioner - Emergency Medicine 2365491073 Reassigns benefits to 4 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
114591MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. CurrentSince Aug 1, 2023 Accepting new patients
North Indiana Emergency Physicians, LLP CurrentSince Oct 29, 2017 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Apr 21, 2025 Accepting new patients
St. Francis Medical Center Current Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jan 1, 2020 Accepting new patients
Phoenix Emergency Physicians of the Midwest LLC Past Accepting new patients
Northeast Internal Medicine Associates, PC Past Accepting new patients
Innovative Hospital Care Inc Hospitalist Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Emergency Medicine of Indiana Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Past Accepting new patients
Callaway Emergency Physicians, LLC Past Accepting new patients
Saint Luke's Hospital of Trenton Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Saint Lukes Hospital of Chillicothe Past Accepting new patients

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.

View all 15

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

Verify at the official NPI Registry.