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

Haitam Mohamad Buaisha, MD

Individual provider Internal Medicine Physician · NPI 1558770743

Haitam Mohamad Buaisha, MD is a Gastroenterology in Fort Wayne, Indiana. Qualified in 2008, 18 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana, Nebraska and West Virginia.

Years since qualifying
18
Licensed in
IN, NE, WV
In the registry since
2014
Specialties on file
4
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

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone: (260) 266-5230
Fax: (260) 458-5972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 01096804A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 7174 (NE)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 32530 (NE)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 33345 (WV)

Record details

NPI number1558770743
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2014
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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