Individual provider Active NPI

Mohamed Noureldin Birima Noureldin, MD

  • Gastroenterology Physician
  • Fort Wayne, IN
National Provider Identifier
1437689437
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01096022A Issued in IN
Practice address
11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone
(260) 266-5230
Fax
(260) 458-5972
NPI assigned
Jun 13, 2017
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 4351035923 MI
Gastroenterology Physician 207RG0100X 4301500787 MI
Gastroenterology Physician 207RG0100X 01096022A IN Primary

Addresses

Primary practice location

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice location 1

3304 Cooley Ct
Portage, MI 49024-7430
Phone (269) 349-2266

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Direct Messaging Address mnoureldin682420@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, 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
I20200124000492 MI Practitioner - Internal Medicine 6002241858 Reassigns benefits to 3 organizations
I20250825003825 IN Practitioner - Gastroenterology 6002241858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, shared by 8 NPIs, 507 clinicians

Practice addresses (Care Compare)

11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672
Phone (206) 266-5400

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 425-6030

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443

215 E Mansion St
1E Oaklawn Medical Group
Marshall, MI 49068-1559
Phone (269) 789-8272

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 425-6030

3304 Cooley CT
Portage, MI 49024-7430
Phone (269) 349-2266

4230 Bay City Rd
Midland, MI 48642-6014
Phone (989) 839-0750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Upper gastrointestinal (GI) endoscopy for acid reflux87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4351035923MIMDInternal Medicine Physician
4301500787MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System,Inc. Internal Medicine CurrentSince Aug 13, 2025 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Jun 23, 2023 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Jun 23, 2023 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince May 11, 2022 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 1, 2025 Accepting new patients
Ella E M Brown Charitable Circle Internal Medicine Current Accepting new patients
Parkview Health System Inc Internal Medicine Current Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince May 11, 2022 Accepting new patients

Locations

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-302
Kalamazoo, MI 49007
Phone (269) 276-0000

215 E Mansion St
Ste 3A
Marshall, MI 49068
Phone (269) 781-2658

215 E Mansion St
Ste 1E
Marshall, MI 49068
Phone (269) 781-3938

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

Interoperability endpoints

  • Direct secure messaging: mnoureldin682420@direct.parkviewexchange.com
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1437689437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 PARKVIEW CIRCLE DR STE 310",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451733",
            "telephone_number": "260-266-5230",
            "fax_number": "260-458-5972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3304 Cooley Ct",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490247430",
            "country_code": "US",
            "telephone_number": "269-349-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOURELDIN",
        "first_name": "MOHAMED",
        "middle_name": "NOURELDIN BIRIMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351035923",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301500787",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01096022A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnoureldin682420@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.