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

Thayer Nasereddin, MD

Individual provider Gastroenterology Physician · NPI 1215391701

Thayer Nasereddin, MD is a Gastroenterology in Fort Wayne, Indiana. Qualified in 2016, 10 years ago. Practices with Indianapolis Gastroenterology LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
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

11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Phone: (833) 724-8326
Fax: (260) 266-7935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8051 S Emerson Ave Ste 200, Indianapolis, IN 46237-8632 — (317) 865-2955

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 01087422A (IN)

Record details

NPI number1215391701
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Indianapolis Gastroenterology Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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