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Hasan Bilal Ahmad

Internal Medicine

Allopathic & Osteopathic Physicians

11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701

PECOS Enrollment

This provider is enrolled in PECOS as HASAN AHMAD.

Based on the most recent information from CMS, provider Hasan Bilal Ahmad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1053739995
Provider Type
Individual
Full Name
Ahmad, Hasan Bilal
Title
Dr.
Credential
DO, MBA

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2014
Last Updated
2/3/2025

Contact Information

Practice Location

11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701

(260) 672-6620

(260) 672-6639

Mailing Location

11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 02008088A Indiana
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License OP61082106 Washington
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License OP61082106 Washington

Hasan Bilal Ahmad

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Dimayuga, Sheryl Ann Altamirano

Bhandari, Birat

Niraula, Seejal

Durrani, Mehnoor

Chaarani, Bilal

Wiegman, Jarrod Michael

Shukla, Abhijit

Ostlund, Daniel M

Alhariri, Ahmad

Almani, Zubair S