Mohammad Ali Al Mahdawi, MD in Fort Wayne, IN

Mohammad Ali Al Mahdawi, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Fort Wayne, Indiana. His current practice location is 7836 W Jefferson Blvd Ste 101, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 494-3484.

Mohammad Ali Al Mahdawi is licensed to practice in Indiana (license number 01088553A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992236749.

Contact Information

	Mohammad Ali Al Mahdawi, MD
	7836 W Jefferson Blvd Ste 101, Fort Wayne, IN 46804-4178
	(260) 494-3484
	(260) 969-0188

Map and Direction

Physician's Profile

Full Name	Mohammad Ali Al Mahdawi
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	7836 W Jefferson Blvd Ste 101, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992236749
Provider Enumeration Date: 03/23/2017
Last Update Date: 05/07/2025

Medicare PECOS Information:

PECOS PAC ID: 1951674753
Enrollment ID: I20220505001439

Medical Identifiers

Medical identifiers for Mohammad Ali Al Mahdawi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992236749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01088553A (Indiana)	Secondary
207R00000X	Internal Medicine	4301506423 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RN0300X	Internal Medicine - Nephrology	01088553A (Indiana)	Primary

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. Mohammad Ali Al Mahdawi allows following entities to bill medicare on his behalf.

Entity Name	Hospitalist Medicine Physicians Of Michigan Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013180181 PECOS PAC ID: 4486703170 Enrollment ID: O20090529000290

Entity Name	Sound Inpatient Physicians-michigan Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639311996 PECOS PAC ID: 5395896849 Enrollment ID: O20090624000252

Entity Name	Nephro-care Md Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336510072 PECOS PAC ID: 3971813635 Enrollment ID: O20151109001124

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. Mohammad Ali Al Mahdawi 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
Mohammad Ali Al Mahdawi, MD 120 W 22nd St, Oak Brook, IL 60523-1557 Ph: (630) 573-5000	Mohammad Ali Al Mahdawi, MD 7836 W Jefferson Blvd Ste 101, Fort Wayne, IN 46804-4178 Ph: (260) 494-3484

Reviews and Comments

Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Nephrology 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 Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Nephrology 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 Nephrology 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 Nephrology 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. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Mohammad Ali Al Mahdawi, MD - Medicare Internal Medicine in Fort Wayne, IN