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

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1487393690

Zeenat Habibullah, MD is an Addiction Medicine in Fort Wayne, Indiana. Qualified in 2005, 21 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Indiana and Kansas.

Years since qualifying
21
Licensed in
IN, KS
In the registry since
2022
Specialties on file
2
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

3005 E State Blvd
Fort Wayne, IN 46805-4736
Phone: (260) 267-9498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 01098178A (IN)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 94-11590 (KS)

Record details

NPI number1487393690
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2022
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

Medicare enrollment

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

Medicare specialtyADDICTION MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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