Individual provider Active NPI

Awsse Harith Hamed Al-Ani, MBBS

  • Nephrology Physician
  • Fort Wayne, IN
National Provider Identifier
1679033641
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036.169608 Issued in IN
Practice address
7836 W Jefferson Blvd Ste 101
Fort Wayne, IN 46804-4178
Phone
(260) 494-3484
Fax
(260) 969-0188
NPI assigned
Mar 25, 2019
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036.169608 IN Primary
Nephrology Physician 207RN0300X 35.156178 OH

Addresses

Primary practice location

7836 W Jefferson Blvd Ste 101
Fort Wayne, IN 46804-4178

Mailing address

7836 W Jefferson Blvd Ste 101
Fort Wayne, IN 46804-4178
Phone (260) 494-3484

Other practice location 1

1833 Magnavox Way
Fort Wayne, IN 46804-1539
Phone (260) 918-0997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MD2 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
I20260410002279 IL Practitioner - Internal Medicine 3678016482 Reassigns benefits to 1 organization
I20260415001632 MD Practitioner - Internal Medicine 3678016482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036.169608INMDNephrology Physician
35.156178OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Indiana, Inc Nephrology CurrentSince Aug 1, 2026 Accepting new patients

Locations

1833 Magnavox Way
#100
Fort Wayne, IN 46804
Phone (260) 918-0997

7836 W Jefferson Blvd
Ste 101
Fort Wayne, IN 46804
Phone (260) 494-3458

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

140 Fox Rd
Ste 405
Van Wert, OH 45891
Phone (419) 238-9333

Interoperability endpoints

  • Direct secure messaging: aalani202866@direct.hopkinsmedicine.org
  • Direct secure messaging: aalani784340@direct.hfhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1679033641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 W JEFFERSON BLVD STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044178",
            "telephone_number": "260-494-3484",
            "fax_number": "260-969-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 W JEFFERSON BLVD STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044178",
            "telephone_number": "260-494-3484",
            "fax_number": "260-969-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1833 Magnavox Way",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468041539",
            "country_code": "US",
            "telephone_number": "260-918-0997",
            "fax_number": "260-459-7885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-ANI",
        "first_name": "AWSSE",
        "middle_name": "HARITH HAMED",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "036.169608",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.156178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.