Active NPI
Imad E Horani, M.D.
- Gastroenterology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 01034917
- Practice address
- 2231 Carew St
Fort Wayne, IN 46805-4713 - Phone
- (260) 266-5230
- Fax
- (260) 373-9393
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 01034917 | IN | Primary |
Addresses
Primary practice location
2231 Carew St
Fort Wayne, IN 46805-4713
Mailing address
1234 E Dupont Rd
Suite 3
Fort Wayne, IN 46825-1545
Phone (260) 373-7875
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000638370 | Other | IN | ANTHEM |
| P00785645 | Other | IN | MEDICARE RR |
| 4047092 | Other | IN | AETNA PROVIDER NUMBER |
| 2765686001 | Other | IN | CIGNA PROVIDER NUMBER |
| 0000000084166 | Other | IN | BCBS PROVIDER NUMBER |
| 100006559 | Other | IN | RAILROAD MEDICARE |
| 100331610 | Medicaid | IN | |
| 3019003 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01034917 | IN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System,Inc. | Gastroenterology | Current | Accepting new patients |
| Parkview Health System Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
1234 E DuPont Rd
Ste 3
Fort Wayne, IN 46825
Phone (260) 373-9965
3926 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 266-8210
3439 Hobson Rd
#G
Fort Wayne, IN 46805
Phone (260) 484-2524
3439 Hobson Rd
Fort Wayne, IN 46805
Phone (219) 484-2524
2231 Carew St
Fort Wayne, IN 46805
Phone (260) 266-7856
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Gastroenterology Physician
- Fort Wayne, IN
- NPI 1437461449
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1902895949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 E DUPONT RD",
"address_2": "SUITE 3",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251545",
"telephone_number": "260-373-7875",
"fax_number": "260-373-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 CAREW ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054713",
"telephone_number": "260-266-5230",
"fax_number": "260-373-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORANI",
"first_name": "IMAD",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01034917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000638370",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00785645",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4047092",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "2765686001",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "0000000084166",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100006559",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100331610",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3019003",
"state": "OH"
}
],
"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 Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.