DR. MOHAMMED SAAD GHAZALI M.D. NPI 1275540361

NPI Information

NPI: 1275540361
Provider Name: DR. MOHAMMED SAAD GHAZALI, M.D.
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
8028 CARNEGIE BLVD STE 600
FORT WAYNE, IN
ZIP 46804
Phone: (260) 425-5950
Get Directions

DR. Mohammed Saad Ghazali, M.D. is a pediatric cardiology pediatrics in Fort Wayne, IN. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. Mohammed Saad Ghazali, M.D. NPI is 1275540361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8028 CARNEGIE BLVD STE 600
FORT WAYNE, IN
ZIP 46804-790
Phone: (260) 425-5950
Fax: (260) 266-5145

The NPI 1275540361 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 1/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	01053679A	INDIANA	Yes
2	174400000X	Specialist		01053679A	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200318560	MEDICAID	INDIANA
2	2261574	MEDICAID	OHIO
3	163424	OTHER	INDIANA	CHILDRENS SPECIAL HEALTH
4	000000200725	OTHER	INDIANA	BLUE CROSS BLUE SHIELD
5	5440706	OTHER	INDIANA	AETNA INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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