MOHANNAD MOALLEM M.D. NPI 1003026501
Pediatrics (Neonatal-Perinatal Medicine) in Indianapolis, IN
About MOHANNAD MOALLEM
Mohannad Moallem is a pediatrician established in Indianapolis, Indiana and his medical specialization is pediatrics (neonatal-perinatal medicine) . The NPI number of Mohannad Moallem is 1003026501 and was assigned on May 2007. The practitioner's primary taxonomy code is 2080N0001X with license number 01086945A (IN). The provider is registered as an individual and his NPI record was last updated January 2022.
A pediatrician like Mohannad Moallem M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Mohannad Moallem is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Mohannad Moallem is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1003026501 |
| Provider Name | MOHANNAD MOALLEM M.D. |
| Provider Location Address | 705 RILEY HOSPITAL DR INDIANAPOLIS, IN 46202 |
| Provider Mailing Address | PO BOX 1026 INDIANAPOLIS, IN 46206 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 05-23-2007 |
| Last Update Date | 01-03-2022 |
Primary Taxonomy
| Taxonomy Code | 2080N0001X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Neonatal-Perinatal Medicine |
| License No. | 01086945A |
| License State | IN |
| Taxonomy Description | A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Business Address
MOHANNAD MOALLEM M.D.
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-4779
Fax: (317) 948-9806
Mailing Address
MOHANNAD MOALLEM M.D.
PO BOX 1026
INDIANAPOLIS, IN
ZIP 46206
Phone: (317) 777-6435
Fax: (317) 777-6644
Medicare Participation
| Registered in PECOS? | Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 300057674 | MEDICAID (05) | IN |
| 0050048 | MEDICAID (05) | OH |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306815402 | KATHLEEN M O'NEIL MD Individual | Pediatrics (Pediatric Rheumatology) | 705 RILEY HOSPITAL DR RR 307 INDIANAPOLIS, IN 46202 (317) 274-2172 |
| 1245295690 | DAVID C DELGADO M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 705 RILEY HOSPITAL DR ROC 4340 INDIANAPOLIS, IN 46202 (317) 944-5552 |
| 1255389334 | DONALD P ORR MD Individual | Pediatrics (Adolescent Medicine) | 705 RILEY HOSPITAL DR MSA 2 INDIANAPOLIS, IN 46202 (317) 274-8812 |
| 1700835253 | GREGORY A WILSON MD Individual | Pediatrics | 705 RILEY HOSPITAL DR RI 1601 INDIANAPOLIS, IN 46202 (317) 944-4842 |
| 1952355398 | DOUGLAS J GAEBLER LCSW Individual | Social Worker | 705 RILEY HOSPITAL DR INDIANAPOLIS, IN 46202 (317) 944-2066 |
| 1922049790 | CHRISTINE M RACHES PSY.D. Individual | Psychologist (Clinical Child & Adolescent) | 705 RILEY HOSPITAL DR RI 5837 INDIANAPOLIS, IN 46202 (317) 944-8167 |
| 1760413991 | STEVEN J STEINER MD Individual | Pediatrics (Pediatric Gastroenterology) | 705 RILEY HOSPITAL DR ROC 4210 INDIANAPOLIS, IN 46202 (317) 944-3774 |
| 1275567729 | JAMES D ULM M.D. Individual | Otolaryngology | 705 RILEY HOSPITAL DR SUITE 0860 INDIANAPOLIS, IN 46202 (317) 948-3226 |
| 1366457830 | LUCILLE ANN PAPILE MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 705 RILEY HOSPITAL DR RR 208 INDIANAPOLIS, IN 46202 (317) 274-4715 |
| 1295743086 | BENJAMIN D BAUER MD Individual | Pediatrics | 705 RILEY HOSPITAL DR STE 1721 INDIANAPOLIS, IN 46202 (317) 962-8067 |
| 1154331601 | HEIDI S NEUBURGER Individual | Audiologist (Assistive Technology Practitioner) | 705 RILEY HOSPITAL DR 0860 INDIANAPOLIS, IN 46202 (317) 948-5818 |
| 1992715452 | GENERAL OTORHINOLARYNGOLOGICAL FOUNDATION, INC. Organization | Otolaryngology | 705 RILEY HOSPITAL DR 0860 INDIANAPOLIS, IN 46202 (317) 630-8970 |
| 1871600668 | JULIE K KECK MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 705 RILEY HOSPITAL DR RI 1601 INDIANAPOLIS, IN 46202 (317) 274-4842 |
| 1619085602 | ROGER A HURWITZ MD Individual | Pediatrics (Pediatric Cardiology) | 705 RILEY HOSPITAL DR RR 127 INDIANAPOLIS, IN 46202 (317) 274-8906 |
| 1871602995 | HOWARD EIGEN MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 705 RILEY HOSPITAL DR RI 2117 INDIANAPOLIS, IN 46202 (317) 274-7208 |
| 1396854345 | WILLIAM MA MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 705 RILEY HOSPITAL DR ROC 4270 INDIANAPOLIS, IN 46202 (317) 278-7738 |
| 1184734527 | JAMES S HILL MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 705 RILEY HOSPITAL DR ROC 4340 INDIANAPOLIS, IN 46202 (317) 944-5611 |
| 1932219375 | PAUL R HAUT MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 705 RILEY HOSPITAL DR ROC 4340 INDIANAPOLIS, IN 46202 (317) 944-5552 |
| 1710097142 | ROBERT J FALLON MD, PHD Individual | Pediatrics (Pediatric Hematology-Oncology) | 705 RILEY HOSPITAL DR ROC 4340 INDIANAPOLIS, IN 46202 (317) 944-5611 |
| 1134223647 | MARTIN B KLEIMAN MD Individual | Pediatrics (Pediatric Infectious Diseases) | 705 RILEY HOSPITAL DR ROC 4380 INDIANAPOLIS, IN 46202 (317) 944-7260 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.