Active NPI
Mohammad Ali Al Mahdawi, M.D
- Nephrology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 01088553A
- Practice address
- 7836 W Jefferson Blvd Ste 101
Fort Wayne, IN 46804-4178 - Phone
- (260) 494-3484
- Fax
- (260) 969-0188
- NPI assigned
- Mar 23, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01088553A | IN | |
| Internal Medicine Physician | 207R00000X | 4301506423 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 01088553A | IN | Primary |
Addresses
Primary practice location
7836 W Jefferson Blvd Ste 101
Fort Wayne, IN 46804-4178
Mailing address
120 W 22ND St
Oak Brook, IL 60523-1557
Phone (630) 573-5000
Other practice location 1
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6620
Other practice location 2
442 W High St Bsmt
Bryan, OH 43506-1681
Phone (260) 494-3484
Other practice location 3
11104 Parkview Circle Dr Ste 330
Fort Wayne, IN 46845-1674
Phone (260) 494-3484
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | malmahdawi512854@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Indiana University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7836 W Jefferson Blvd
101 Nephrology Associates of Northern India
Fort Wayne, IN 46804-4178
Phone (260) 494-3484
Hospital & facility affiliations
- FMC - Dupont Dialysis
- Parkview Regional Medical Center
- Lutheran Hospital of Indiana
- Parkview Noble Hospital
- Parkview Whitley Hospital
- Community Hospitals and Wellness Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01088553A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Northern Indiana, Inc | Nephrology | Current | Accepting new patients |
| Parkview Health System, Inc. | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Parkview Health System Inc | Internal Medicine | Current | Accepting new patients |
Locations
120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000
120 W 22nd St
Oak Brook, IL 60523
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
7836 W Jefferson Blvd
Ste 101
Fort Wayne, IN 46804
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
11104 Parkview Circle Dr
Ste 330
Fort Wayne, IN 46845
569 Tyler St
Gary, IN 46402
Phone (260) 885-3300
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
90 W 86th Ave
Merrillville, IN 46410
Phone (219) 791-1555
442 W High St
Bsmt
Bryan, OH 43506
Interoperability endpoints
- malmahdawi55481@direct.acumenmd.com
- malmahdawi43314@direct.trinity-health.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- malmahdawi512854@direct.parkviewexchange.com
Organizations & group practices 4
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.
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1578505814
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
Internal Medicine
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Wayne, IN
- NPI 1770698524
Dialysis facility
-
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
- General Acute Care Hospital
- Bryan, OH
- NPI 1962458521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1992236749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231557",
"telephone_number": "630-573-5000"
},
{
"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": "11109 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451701",
"country_code": "US",
"telephone_number": "260-672-6620",
"fax_number": "260-672-6639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "442 W High St Bsmt",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "OH",
"postal_code": "435061681",
"country_code": "US",
"telephone_number": "260-494-3484",
"fax_number": "260-969-0188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11104 Parkview Circle Dr Ste 330",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451674",
"country_code": "US",
"telephone_number": "260-494-3484",
"fax_number": "260-969-0188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL MAHDAWI",
"first_name": "MOHAMMAD ALI",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01088553A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301506423",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "01088553A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11109 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451701",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "malmahdawi512854@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11109 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451701",
"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": "11109 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451701",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231557",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 7, 2025; 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.
- 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.