DR. HASSAN TAKI (M.D.) – Specialist, NPI 1114911807
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
78 ALLERGY/IMMUNOLOGY in IN
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Provider Addresses for DR. HASSAN TAKI (M.D.)
4424, East State Boulevard, Fort Wayne, Allen County, Indiana, 46815, United States
FORT WAYNE, IN 468156917
Phone: (260) 483-4433
Fax: (260) 483-4223
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $2,428.
Total Amount is formed as General ($2,428) + Research ($0) + Ownership ($0) = $2,428.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($748).
Total Amount
$2,428
General + Research + Ownership
Payments
92
Total payment records
General Amount
$2,428
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $748 |
| AstraZeneca Pharmaceuticals LP | $487 |
| PFIZER INC. | $481 |
| Phathom Pharmaceuticals, Inc. | $313 |
| ABBVIE INC. | $165 |
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: 2012-03-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120307000508 | I | Allergy/Immunology | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 538 | 32 | $0 |
| 95117 | Professional service for multiple injections of allergen | 358 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 240 | 69 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 178 | 59 | $0 |
Insurance plans in this area (ZIP 46815)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | IN | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 212 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | WI |
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