Active NPI
Asif A Sayed, M.D
- Pediatrics Physician
- Fort Wayne, IN
National Provider Identifier
1598892408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01038922
- Practice address
- 3030 Lake Ave
Suite 10
Fort Wayne, IN 46805-5428 - Phone
- (260) 422-2448
- Fax
- (260) 422-7467
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01038922 | IN | Primary |
Addresses
Primary practice location
3030 Lake Ave
Suite 10
Fort Wayne, IN 46805-5428
Mailing address
3030 Lake Ave
Suite 10
Fort Wayne, IN 46805-5428
Phone (260) 422-2448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100082100A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038922 | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Turtle Pediatrics, P.C. | Past | Accepting new patients | |
| St. Joseph Primary Care, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Adolescent Medicine Physician
- Fort Wayne, IN
- NPI 1093916959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598892408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 LAKE AVE",
"address_2": "SUITE 10",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055428",
"telephone_number": "260-422-2448",
"fax_number": "260-422-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LAKE AVE",
"address_2": "SUITE 10",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055428",
"telephone_number": "260-422-2448",
"fax_number": "260-422-7467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYED",
"first_name": "ASIF",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01038922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100082100A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.