JAIME R HAJJARI (MD) – Emergency Medicine Physician, NPI 1033524590

JAIME R HAJJARI (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01078402A (IN). The NPI Number for JAIME R HAJJARI (MD) is 1033524590

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JAIME R HAJJARI (MD)
NPI
1033524590
Phone
(260) 482-4440
Address
3640 NEW VISION DR STE A
Enumeration Date
24 June 2014
Last Update Date
15 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605328330
Graduation Year
2013 (13 years ago)
PAC ID
7517186943
Group Practice PAC ID
3476462334
Professional Enrollment ID
I20230714000783
Address ID
WA985201006AB915XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,268 EMERGENCY MEDICINE in IN

Provider Addresses for JAIME R HAJJARI (MD)

  • 3640 NEW VISION DR STE A

    FORT WAYNE, IN 468451717

    Phone: (260) 482-4440

    Fax: (260) 482-4442

    Type: Mailing

  • 1260 E STATE ROAD 205

    COLUMBIA CITY, IN 46725

    Phone: (260) 248-9000

    Fax: (260) 482-4442

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230714000783IEmergency MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making222215$0
99284Emergency department visit with moderate level of medical decision making9289$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1616$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476462334View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JAIME R HAJJARI (MD)?
NPI 1033524590 is assigned to JAIME R HAJJARI (MD) under the national enumeration system.
Is JAIME R HAJJARI (MD) currently active in the NPI registry?
CMS-published data lists JAIME R HAJJARI (MD) as an active registrant.
Can you summarize JAIME R HAJJARI (MD)'s specialty in plain language?
Clinically, the directory lists JAIME R HAJJARI (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JAIME R HAJJARI (MD)?
The snapshot lists Fort Wayne, Indiana for JAIME R HAJJARI (MD); download NPPES for the complete set.
What if Fort Wayne, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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