Haitam Mohamad Buaisha, MD in Fort Wayne, IN

Haitam Mohamad Buaisha, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Fort Wayne, Indiana. He graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice University Physicians And Surgeons, Inc, Parkview Health System Inc and his current practice location is 11104 Parkview Circle Dr Ste 310, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 266-5230.

Haitam Mohamad Buaisha is licensed to practice in Indiana (license number 01096804A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558770743.

Contact Information

	Haitam Mohamad Buaisha, MD
	11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733
	(260) 266-5230
	(260) 458-5972

Map and Direction

Physician's Profile

Full Name	Haitam Mohamad Buaisha
Gender	Male
Speciality	Gastroenterology
Experience	17 Years
Location	11104 Parkview Circle Dr Ste 310, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Haitam Mohamad Buaisha graduated from medical school in 2008

NPI Data:

NPI Number: 1558770743
Provider Enumeration Date: 08/13/2014
Last Update Date: 09/02/2025

Medicare PECOS Information:

PECOS PAC ID: 4486933678
Enrollment ID: I20240226002654

Medical Identifiers

Medical identifiers for Haitam Mohamad Buaisha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558770743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	7174 (Nebraska)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	32530 (Nebraska)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	33345 (West Virginia)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	01096804A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cabell Huntington Hospital Inc	Huntington, WV	Hospital
St Mary's Medical Center	Huntington, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Physicians And Surgeons, Inc	2961315734	343
Parkview Health System Inc	2163336967	1196

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Haitam Mohamad Buaisha allows following entities to bill medicare on his behalf.

Entity Name	University Physicians & Surgeons, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730183286 PECOS PAC ID: 2961315734 Enrollment ID: O20031107000331

Entity Name	Monongalia County General Hospital Company
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447673223 PECOS PAC ID: 9638073380 Enrollment ID: O20031124000459

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haitam Mohamad Buaisha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Haitam Mohamad Buaisha, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Haitam Mohamad Buaisha, MD 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 Ph: (260) 266-5230

Reviews and Comments

Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910
Ahmad Alhariri, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605
John T Ducker, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188
Mr. Kenneth A Smith, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255
Dr. Carl Marc Williams, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Haitam Mohamad Buaisha, MD - Medicare Gastroenterology in Fort Wayne, IN