Jehangir Anwar Ansari, MD
Individual provider Active NPI Internal Medicine Physician · Fort Wayne, IN
NPI 1295034064 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1295034064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01078921A (IN)
- Practice address
- 11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701 - Phone
- (260) 266-2020
- NPI assigned
- Mar 20, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mvhe Inc
Sinclair Physician Services, LLC
Reid Physician Associates Inc
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8394
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122
2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831
Hospital & facility affiliations
- Reid Health
- Miami Valley Hospital
- Upper Valley Medical Center
- Wayne Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in OH, IN, ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150530000038 | OH | Practitioner - Internal Medicine | 3779711148 | Reassigns benefits to 2 organizations |
| I20171226000954 | IN | Practitioner - Internal Medicine |
3779711148 | Reassigns benefits to 2 organizations |
| I20200220002225 | ME | Practitioner - Hospitalist | 3779711148 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current |
Accepting new patients | |
| Parkview Health System, Inc. | Internal Medicine | Current |
Accepting new patients |
| Mvhe Inc | Internal Medicine | Current |
Accepting new patients |
| Mainegeneral Medical Center | Current |
Accepting new patients | |
| Sinclair Physician Services, LLC | Internal Medicine | Current |
Accepting new patients |
| Reid Physician Associates, Inc. | Internal Medicine | Current |
Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Reid Physician Associates, Inc | Current |
Accepting new patients | |
| Mvhe Inc | Internal Medicine | Current |
Accepting new patients |
| Parkview Health System Inc | Internal Medicine | Current | Accepting new patients |
| Reid Hospital & Health Care Services, Inc | Past | Accepting new patients |
Locations
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000
149 North St
Waterville, ME 04901
Phone (207) 622-1959
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
Interoperability endpoints
- jansari436148@reidhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2017030891 | MO | |
| Hospitalist Physician | 208M00000X | 2017030891 | MO | |
| Internal Medicine Physician | 207R00000X | 01078921A | IN | Yes |
Addresses
Primary practice location
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Mailing address
3702 New Vision Dr BLDG B
Fort Wayne, IN 46845-1703
Phone (260) 266-6013
Other practice location 1
128 E Apple St
Wright State Univ Dept of Internal Medicine 2nd Floor
Dayton, OH 45409-2902
Phone (937) 208-2866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104139 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jansari436148@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. |
NPI Registry JSON
{
"created_epoch": "1300579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1295034064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 NEW VISION DR BLDG B",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451703",
"telephone_number": "260-266-6013",
"fax_number": "260-458-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701",
"telephone_number": "260-266-2020"
}
],
"practiceLocations": [
{
"address_1": "128 E Apple St",
"address_2": "Wright State Univ Dept of Internal Medicine 2nd Floor",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092902",
"country_code": "US",
"telephone_number": "937-208-2866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANSARI",
"first_name": "JEHANGIR",
"middle_name": "ANWAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-20",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2017030891",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2017030891",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01078921A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0104139",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jansari436148@ReidHealth.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Reid Physician Associates, Inc.",
"address_1": "1100 Reid Pkwy",
"city": "Richmond",
"state": "IN",
"country_code": "US",
"postal_code": "473741157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.