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

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (399 clinicians)
Sinclair Physician Services, LLC (128 clinicians)
Reid Physician Associates Inc (427 clinicians)

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 Hospital · Richmond, IN · CCN 150048
  • Miami Valley Hospital Hospital · Dayton, OH · CCN 360051
  • Upper Valley Medical Center Hospital · Troy, OH · CCN 360174
  • Wayne Hospital Hospital · Greenville, OH · CCN 361335

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 IDStateProvider typePAC IDDetails
I20150530000038 OH Practitioner - Internal Medicine 3779711148 Reassigns benefits to 2 organizations
I20171226000954 IN Practitioner - Internal Medicine
Practitioner - Hospitalist
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

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center Current
since Dec 31, 2019
Accepting new patients
Parkview Health System, Inc. Internal Medicine Current
since Dec 28, 2017
Accepting new patients
Mvhe Inc Internal Medicine Current
since Apr 22, 2015
Accepting new patients
Mainegeneral Medical Center Current
since Dec 31, 2019
Accepting new patients
Sinclair Physician Services, LLC Internal Medicine Current
since Mar 18, 2024
Accepting new patients
Reid Physician Associates, Inc. Internal Medicine Current
since Jul 13, 2021
Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Reid Physician Associates, Inc Current
since Jul 13, 2021
Accepting new patients
Mvhe Inc Internal Medicine Current
since Apr 22, 2015
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

  • Direct secure messaging: jansari436148@reidhealth.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0104139MedicaidOH

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jansari436148@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2021.

{
    "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": []
}

Other providers in Fort Wayne, IN

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Sources for this page

Verify at the official NPI Registry.