Organization Active NPI

Aiman Hassan MD LLC

Doing business as Premier Urgent Care Clinic

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1790021376
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AIMAN HASSAN MD LLC
Doing business as
Premier Urgent Care Clinic
Practice address
6036 Trier Rd
Fort Wayne, IN 46815-5337
Phone
(260) 414-8285
NPI assigned
Dec 31, 2012
Last updated
Dec 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Aiman Hassan, MDNPI 1588683122
Title
President
Phone
(260) 414-8285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6036 Trier Rd
Fort Wayne, IN 46815-5337

Mailing address

6036 Trier Rd
Fort Wayne, IN 46815-5337
Phone (260) 414-8285

Other names 1

  • Premier Urgent Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130429000192 IN Part B Supplier - Clinic/Group Practice 2860638384 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2052311Dba Premier Urgent Care Clinic6036 Trier Rd, Fort Wayne, IN 46815Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

Locations

6036 Trier Rd
Fort Wayne, IN 46815
Phone (260) 414-8285

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1790021376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 TRIER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155337",
            "telephone_number": "260-414-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 TRIER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155337",
            "telephone_number": "260-414-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMAN HASSAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "AIMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-414-8285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.