Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Hassan Taki, MD

Individual provider Specialist · NPI 1114911807

Dr. Hassan Taki, MD is an Allergy/Immunology in Fort Wayne, Indiana. Qualified in 1980, 46 years ago. Practices with Fort Wayne Medical Institute, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
46
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4424 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (260) 483-4433
Fax: (260) 483-4223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 01042585 (IN)

Record details

NPI number1114911807
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 8, 2005
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Fort Wayne Medical Institute — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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