MAHNAZ QAZI (MD) – Family Medicine Physician, NPI 1275740169

MAHNAZ QAZI (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 01068402A (IN). The NPI Number for MAHNAZ QAZI (MD) is 1275740169

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
MAHNAZ QAZI (MD)
NPI
1275740169
Phone
(260) 425-3100
Address
2622 LAKE AVE
Enumeration Date
17 May 2007
Last Update Date
13 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2064357001
Graduation Year
1988 (38 years ago)
PAC ID
1850578378
Group Practice PAC ID
4981841780
Professional Enrollment ID
I20110610000191
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MAHNAZ QAZI (MD)

  • 2622, Lake Avenue, Fort Wayne, Allen County, Indiana, 46805, United States

    FORT WAYNE, IN 468055410

    Phone: (260) 425-3100

    Fax: (260) 425-3604

    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)

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: 2011-06-10

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
I20110610000191IEmergency MedicineINTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8660$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4730$0
99239Hospital discharge day management, more than 30 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 46805)

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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: 4981841780View full group profile
NameSpecialtyState
Internal MedicineIL
-IN
-IL
Physician AssistantIL
Physician AssistantIN
Internal MedicineIL
Hospitalist, Family Practice, Family PracticeVA
Internal MedicineIN
Internal MedicineOH
Internal MedicineIN

Reviews

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Frequently asked questions

What is MAHNAZ QAZI (MD)'s NPI number?
MAHNAZ QAZI (MD)'s NPI is 1275740169 — the number used across U.S. healthcare to identify this provider.
Is MAHNAZ QAZI (MD) shown as active in public data?
Registry records indicate MAHNAZ QAZI (MD) maintains an active NPI.
What area of care is associated with MAHNAZ QAZI (MD)?
MAHNAZ QAZI (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MAHNAZ QAZI (MD) associated with Fort Wayne?
Public fields place MAHNAZ QAZI (MD) around Fort Wayne, Indiana. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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