Fatima Khurrum, MD - Medicare Family Medicine in Fort Wayne, IN

Fatima Khurrum, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. Her current practice location is 2434 Lake Ave, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 423-2675.

Fatima Khurrum is licensed to practice in Indiana (license number 11012596) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609887942.

Contact Information

Fatima Khurrum, MD
2434 Lake Ave,
Fort Wayne, IN 46805-5406
(260) 423-2675
(260) 423-6621

Map and Direction




Physician's Profile

Full NameFatima Khurrum
GenderFemale
SpecialityFamily Medicine
Location2434 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609887942
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0244326411
  • Enrollment ID: I20071018000725

Medical Identifiers

Medical identifiers for Fatima Khurrum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609887942NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11012596 (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fatima Khurrum allows following entities to bill medicare on her behalf.
Entity NameHospital Care Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295083624
PECOS PAC ID: 7416107487
Enrollment ID: O20140529001220
Entity NameFwbh Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932843117
PECOS PAC ID: 3274909528
Enrollment ID: O20230123002617

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fatima Khurrum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fatima Khurrum, MD
2434 Lake Ave,
Fort Wayne, IN 46805-5406

Ph: (260) 423-2675
Fatima Khurrum, MD
2434 Lake Ave,
Fort Wayne, IN 46805-5406

Ph: (260) 423-2675

Reviews and Comments


Family Medicine Doctors in Fort Wayne, IN

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Gregory L Chupp, MD
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Christina Mcguirk,
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Dr. Mary Ann O'brien, MD
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Phone: 260-496-6602    Fax: 260-969-3065
Brian A. Adams, MD
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Practice Location: 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825
Phone: 260-458-3760    Fax: 260-458-3761

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.