Active NPI
Jehangir Anwar Ansari, MD
- Internal Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01078921A
- Practice address
- 11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701 - Phone
- (260) 266-2020
- NPI assigned
- Mar 20, 2011
- Last updated
- Dec 6, 2021
- 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 | 2017030891 | MO | |
| Hospitalist Physician | 208M00000X | 2017030891 | MO | |
| Internal Medicine Physician | 207R00000X | 01078921A | IN | Primary |
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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jansari436148@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017030891 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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 | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Parkview Health System 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
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
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
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
Interoperability endpoints
- jansari436148@reidhealth.direct-ci.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
Internal Medicine
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
dba Parkview Physicians Group
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
-
dba Reid Health X-Ray Winchester
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
-
dba MaineGeneral Pharmacy
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
dba Miami Valley Hospitalist Group
- Hospitalist Physician
- Dayton, OH
- NPI 1356394795
Internal Medicine
-
dba Reid Health
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Reid Health
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": [],
"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": []
}
Other providers in Fort Wayne, IN
- Delaney Ankenbruck
- Christal Ankney, MSN, RN
- Kwame-Afoh Ankomah
- Ann E Spink D.C. Chiropractic Center, P.C. (Center For Health & Natural Healing)
- Nicholas Annunziata
- Bailey Danielle Anson, PA-C
- Amanda J Anspach, PHARMD
- Christina Marie Anspach, RPH
- Alexander D Antalis, MD
- Anthony Medical Associates P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.